Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.25 / $2,826.00 / $13,290.00	Facility		$249.25	$2,826.00	$13,290.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $289.00 / $2,631.90 / $11,055.00	Facility	50	$289.00	$2,631.90	$11,055.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $97.82 / $385.40	Professional		$56.82	$97.82	$385.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.28 / $353.75 / $657.00	Professional	50	$83.28	$353.75	$657.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $64.73 / $100.21	Professional		$37.70	$64.73	$100.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,505.00 / $8,976.00	Facility		$1,882.00	$4,505.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $80.56 / $154.66	Professional		$55.08	$80.56	$154.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $62.64 / $100.13 / $133.15	Professional	50	$62.64	$100.13	$133.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $101.07 / $188.21	Professional		$69.22	$101.07	$188.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.94 / $89.10 / $1,487.00	Facility		$88.94	$89.10	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $96.32 / $178.25	Professional		$52.98	$96.32	$178.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $58.97 / $100.83	Professional		$46.68	$58.97	$100.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $78.70 / $141.59	Professional		$42.06	$78.70	$141.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $187.71 / $204.54 / $15,000.00	Facility		$187.71	$204.54	$15,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $1,340.00 / $1,340.00	Professional		$722.00	$1,340.00	$1,340.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.86 / $89.40 / $133.99	Facility		$48.86	$89.40	$133.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $98.69 / $188.82	Professional		$54.49	$98.69	$188.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $139.10 / $253.30	Professional		$139.10	$139.10	$253.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $68.80 / $101.88	Professional		$42.20	$68.80	$101.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,046.00 / $2,679.00 / $7,399.00	Facility		$1,046.00	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $95.13 / $175.14	Professional		$61.04	$95.13	$175.14