Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,897.79 / $14,454.40	Facility		$1,023.29	$4,897.79	$14,454.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $6,165.95 / $9,772.37	Facility	50	$3,388.44	$6,165.95	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $436.52 / $1,548.82	Professional		$208.93	$436.52	$1,548.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $691.83 / $2,754.23	Professional	50	$295.12	$691.83	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $407.38 / $588.84	Professional		$154.88	$407.38	$588.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $549.54 / $831.76	Professional	50	$275.42	$549.54	$831.76
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 $288.40 / $389.05 / $954.99	Professional		$288.40	$389.05	$954.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $537.03 / $776.25	Professional	50	$275.42	$537.03	$776.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,548.82 / $8,709.64	Facility		$66.07	$1,548.82	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $912.01	Professional		$234.42	$467.74	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $457.09 / $831.76	Professional		$245.47	$457.09	$831.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $831.76	Professional		$194.98	$245.47	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $467.74 / $912.01	Professional		$177.83	$467.74	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $39,810.72 / $39,810.72	Facility		$5,248.07	$39,810.72	$39,810.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $3,630.78	Professional		$3,162.28	$3,630.78	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $616.60	Professional		$363.08	$363.08	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $436.52 / $812.83	Facility		$208.93	$436.52	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $467.74 / $912.01	Professional		$245.47	$467.74	$912.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,380.38	Professional		$724.44	$724.44	$1,380.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $524.81	Professional		$181.97	$323.59	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $741.31	Professional		$190.55	$363.08	$741.31