Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,595.87	Facility		$1,659.59	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $245.47 / $645.65	Professional		$100.00	$245.47	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $489.78	Professional		$269.15	$269.15	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $562.34	Professional		$104.71	$173.78	$562.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $407.38 / $630.96	Professional	50	$151.36	$407.38	$630.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $436.52 / $1,778.28	Facility		$66.07	$436.52	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $275.42 / $616.60	Professional		$112.20	$275.42	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $549.54	Facility		$229.09	$309.03	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $275.42 / $575.44	Professional		$114.82	$275.42	$575.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $457.09	Professional		$125.89	$158.49	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $275.42 / $524.81	Professional		$107.15	$275.42	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,621.81	Facility		$54.95	$56.23	$1,621.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,290.87	Professional		$2,041.74	$2,290.87	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $389.05	Professional		$229.09	$229.09	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $229.09 / $467.74	Facility		$97.72	$229.09	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $288.40 / $602.56	Professional		$117.49	$288.40	$602.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $933.25	Professional		$380.19	$380.19	$933.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $316.23	Professional		$109.65	$173.78	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,548.82 / $6,309.57	Facility		$549.54	$1,548.82	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $223.87 / $436.52	Professional		$95.50	$223.87	$436.52