Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,011.87 / $15,135.61	Facility		$1,659.59	$5,011.87	$15,135.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $3,467.37 / $6,309.57	Facility	50	$2,089.30	$3,467.37	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $1,047.13	Professional		$123.03	$263.03	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $562.34 / $1,698.24	Professional	50	$251.19	$562.34	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $275.42	Professional		$144.54	$223.87	$275.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $323.59 / $323.59	Professional	50	$323.59	$323.59	$323.59
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 $117.49 / $165.96 / $416.87	Professional		$117.49	$165.96	$416.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $275.42 / $575.44	Professional	50	$173.78	$275.42	$575.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,348.96 / $5,623.41	Facility		$66.07	$1,348.96	$5,623.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $275.42 / $562.34	Professional		$120.23	$275.42	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $524.81	Professional		$134.90	$275.42	$524.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $501.19	Professional		$134.90	$181.97	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $281.84 / $562.34	Professional		$120.23	$281.84	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $32,359.37	Facility		$2,691.53	$2,691.53	$32,359.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $2,187.76	Professional		$2,041.74	$2,187.76	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $371.54	Professional		$223.87	$223.87	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $263.03 / $501.19	Facility		$125.89	$263.03	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $288.40 / $549.54	Professional		$138.04	$288.40	$549.54
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $851.14	Professional		$426.58	$426.58	$851.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $338.84	Professional		$120.23	$251.19	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $7,585.78	Facility		$1,479.11	$2,754.23	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $446.68	Professional		$109.65	$213.80	$446.68