Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $7,631.00 / $17,343.00	Facility		$810.00	$7,631.00	$17,343.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $644.77 / $6,903.13 / $16,432.50	Facility	50	$644.77	$6,903.13	$16,432.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.88 / $653.38 / $1,453.57	Professional		$488.88	$653.38	$1,453.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $787.82 / $980.07 / $4,506.14	Professional	50	$787.82	$980.07	$4,506.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $551.69 / $551.69 / $584.53	Professional		$551.69	$551.69	$584.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $798.43 / $843.12 / $1,075.99	Professional	50	$798.43	$843.12	$1,075.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,441.00 / $16,676.00	Facility		$2,275.00	$8,441.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $840.56 / $1,654.40	Professional		$549.07	$840.56	$1,654.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $955.68 / $1,081.06 / $1,220.54	Professional	50	$955.68	$1,081.06	$1,220.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $10,377.87	Facility		$66.70	$100.00	$10,377.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $467.87 / $668.39 / $1,345.79	Professional		$467.87	$668.39	$1,345.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,458.73 / $1,988.34	Facility		$705.31	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.34 / $813.60 / $1,591.17	Professional		$566.34	$813.60	$1,591.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $601.64 / $900.45 / $1,215.60	Professional		$601.64	$900.45	$1,215.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.29 / $811.51 / $1,449.98	Professional		$570.29	$811.51	$1,449.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,054.44 / $4,169.04 / $26,542.00	Facility		$4,054.44	$4,169.04	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,208.00 / $7,208.00 / $7,208.00	Professional		$7,208.00	$7,208.00	$7,208.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $685.78 / $900.80 / $1,363.44	Facility		$685.78	$900.80	$1,363.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $568.17 / $871.41 / $1,720.83	Professional		$568.17	$871.41	$1,720.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,954.24 / $1,954.24 / $2,439.91	Professional		$1,954.24	$1,954.24	$2,439.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $620.57 / $818.91 / $1,138.07	Professional		$620.57	$818.91	$1,138.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.84 / $732.20 / $1,864.59	Professional		$564.84	$732.20	$1,864.59