Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $4,848.00 / $16,109.00	Facility		$102.80	$4,848.00	$16,109.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,599.61 / $3,599.61 / $3,599.61	Facility	50	$3,599.61	$3,599.61	$3,599.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $94.87 / $179.16	Professional		$78.06	$94.87	$179.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.09 / $140.09 / $140.09	Professional	50	$140.09	$140.09	$140.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $80.14 / $80.14	Professional		$80.14	$80.14	$80.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $324.08 / $324.08 / $324.08	Professional	50	$324.08	$324.08	$324.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $130.15 / $255.51	Professional		$90.03	$130.15	$255.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $129.66 / $151.05 / $206.59	Professional	50	$129.66	$151.05	$206.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $110.34 / $253.39	Professional		$83.47	$110.34	$253.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $129.13 / $555.00	Facility		$94.73	$129.13	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $128.00 / $302.39	Professional		$90.88	$128.00	$302.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.37 / $136.88 / $176.04	Professional		$114.37	$136.88	$176.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $130.28 / $240.83	Professional		$98.38	$130.28	$240.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $685.68 / $707.40	Facility		$55.00	$685.68	$707.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $725.44 / $920.25 / $1,968.90	Professional		$725.44	$920.25	$1,968.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.73 / $139.26 / $241.71	Facility		$102.73	$139.26	$241.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.95 / $142.28 / $303.24	Professional		$91.95	$142.28	$303.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $326.63 / $326.63 / $341.06	Professional		$326.63	$326.63	$341.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $142.96 / $214.44	Professional		$105.44	$142.96	$214.44
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,493.00 / $5,830.00	Facility		$421.00	$1,493.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $106.54 / $274.48	Professional		$81.76	$106.54	$274.48