Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,090.30 / $13,803.84	Facility		$524.81	$3,090.30	$13,803.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $1,698.24 / $6,456.54	Facility	50	$1,698.24	$1,698.24	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $112.20 / $537.03	Professional		$48.98	$112.20	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $123.03 / $436.52	Professional	50	$70.79	$123.03	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $165.96	Professional		$48.98	$95.50	$165.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	50	$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $218.78	Professional		$61.66	$89.13	$218.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $114.82 / $407.38	Professional	50	$70.79	$114.82	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $549.54 / $5,888.44	Facility		$66.07	$549.54	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $134.90 / $269.15	Professional		$66.07	$134.90	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $223.87	Professional		$58.88	$107.15	$223.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $131.83 / $199.53	Professional		$48.98	$131.83	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $120.23 / $234.42	Professional		$44.67	$120.23	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,498.45	Facility		$1,995.26	$1,995.26	$19,498.45
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	53	$295.12	$295.12	$295.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $154.88	Professional		$93.33	$93.33	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $109.65 / $223.87	Facility		$52.48	$109.65	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $239.88	Professional		$58.88	$107.15	$239.88
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $346.74	Professional		$169.82	$169.82	$346.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $169.82 / $251.19	Professional		$44.67	$169.82	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,513.56 / $6,309.57	Facility		$588.84	$1,513.56	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $190.55	Professional		$45.71	$87.10	$190.55