Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $4,397.00 / $16,109.00	Facility		$205.70	$4,397.00	$16,109.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $282.86 / $828.05 / $5,957.00	Facility	50	$282.86	$828.05	$5,957.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $122.92 / $503.41	Professional		$94.50	$122.92	$503.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.33 / $381.00 / $898.50	Professional	50	$84.33	$381.00	$898.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $151.38 / $151.38 / $151.38	Professional	50	$151.38	$151.38	$151.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $166.20 / $320.08	Professional		$115.94	$166.20	$320.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.91 / $195.36 / $264.12	Professional	50	$154.91	$195.36	$264.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $118.29 / $271.08	Professional		$89.12	$118.29	$271.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $135.94 / $243.47	Facility		$56.00	$135.94	$243.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $151.40 / $306.89	Professional		$114.48	$151.40	$306.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $132.09 / $191.47	Professional		$90.47	$132.09	$191.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $157.97 / $261.77	Professional		$108.45	$157.97	$261.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $504.08 / $534.90	Facility		$55.00	$504.08	$534.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $766.56 / $971.76 / $1,209.53	Professional		$766.56	$971.76	$1,209.53
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 $120.92 / $159.22 / $216.42	Facility		$120.92	$159.22	$216.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $159.43 / $328.52	Professional		$115.77	$159.43	$328.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $343.14 / $343.14 / $424.88	Professional		$343.14	$343.14	$424.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $133.01 / $176.92	Professional		$96.74	$133.01	$176.92
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $137.80 / $282.08	Professional		$103.14	$137.80	$282.08