Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $7,079.46 / $19,054.61	Facility		$363.08	$7,079.46	$19,054.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	50	$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $660.69	Professional		$57.54	$120.23	$660.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $831.76 / $1,071.52	Professional	50	$338.84	$831.76	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $338.84	Professional		$61.66	$134.90	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $72.44 / $165.96	Professional		$46.77	$72.44	$165.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $128.82 / $199.53	Professional	50	$91.20	$128.82	$199.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $616.60 / $5,754.40	Facility		$66.07	$616.60	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $213.80	Professional		$64.57	$95.50	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $218.78	Professional		$67.61	$104.71	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $204.17	Professional		$48.98	$74.13	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $263.03	Professional		$61.66	$134.90	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,096.48 / $1,096.48	Professional		$109.65	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $162.18	Professional		$97.72	$97.72	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $208.93	Facility		$70.79	$109.65	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $239.88	Professional		$67.61	$112.20	$239.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $295.12	Professional		$173.78	$173.78	$295.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $147.91	Professional		$54.95	$81.28	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $186.21	Professional		$48.98	$81.28	$186.21