Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $4,704.00 / $15,522.00	Facility		$546.00	$4,704.00	$15,522.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,298.00 / $7,280.77 / $15,239.33	Facility	50	$3,298.00	$7,280.77	$15,239.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.14 / $414.81 / $1,187.43	Professional		$210.14	$414.81	$1,187.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $322.47 / $589.01 / $1,997.78	Professional	50	$322.47	$589.01	$1,997.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.39 / $171.39 / $500.45	Professional		$171.39	$171.39	$500.45
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $246.79 / $246.79 / $257.08	Professional	50	$246.79	$246.79	$257.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.22 / $377.77 / $726.32	Professional		$288.22	$377.77	$726.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $304.52 / $379.00 / $725.51	Professional	50	$304.52	$379.00	$725.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,615.58	Facility		$66.00	$100.00	$7,615.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $241.11 / $428.35 / $799.40	Professional		$241.11	$428.35	$799.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,816.42 / $3,253.30	Facility		$1,487.00	$1,816.42	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.64 / $470.56 / $853.20	Professional		$250.64	$470.56	$853.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.55 / $274.80 / $737.98	Professional		$199.55	$274.80	$737.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $445.29 / $824.64	Professional		$198.73	$445.29	$824.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.15 / $1,100.15 / $40,000.00	Facility		$1,100.15	$1,100.15	$40,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,611.81 / $3,108.48 / $3,600.53	Professional		$1,611.81	$3,108.48	$3,600.53
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 $228.41 / $425.72 / $707.31	Facility		$228.41	$425.72	$707.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $255.53 / $485.29 / $936.83	Professional		$255.53	$485.29	$936.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $736.77 / $736.77 / $1,395.55	Professional		$736.77	$736.77	$1,395.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.55 / $327.14 / $607.74	Professional		$199.55	$327.14	$607.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.80 / $485.14 / $969.61	Professional		$331.80	$485.14	$969.61