Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $8,912.51 / $19,952.62	Facility		$912.01	$8,912.51	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $281.84	Professional		$40.74	$91.20	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $165.96	Professional		$89.13	$100.00	$165.96
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 $48.98 / $81.28 / $204.17	Professional		$48.98	$81.28	$204.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $371.54 / $5,754.40	Facility		$66.07	$371.54	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $109.65 / $234.42	Professional		$53.70	$109.65	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $107.15 / $239.88	Professional		$51.29	$107.15	$239.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $131.83	Professional		$39.81	$50.12	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $95.50 / $169.82	Professional		$38.02	$95.50	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,513.56	Facility		$54.95	$56.23	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $794.33	Professional		$676.08	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $131.83	Professional		$79.43	$79.43	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $97.72 / $173.78	Facility		$45.71	$97.72	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $251.19	Professional		$51.29	$109.65	$251.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $323.59	Professional		$154.88	$154.88	$323.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $102.33	Professional		$38.90	$56.23	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,548.82 / $6,456.54	Facility		$588.84	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $87.10 / $194.98	Professional		$42.66	$87.10	$194.98