Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $700.41 / $15,877.00	Facility		$129.18	$700.41	$15,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $122.50 / $489.93	Professional		$53.10	$122.50	$489.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $183.75 / $323.74 / $734.90	Professional	50	$183.75	$323.74	$734.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $93.41 / $162.26	Professional		$70.18	$93.41	$162.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $76.79 / $213.24	Professional		$50.32	$76.79	$213.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.09 / $118.51 / $141.47	Professional	50	$75.09	$118.51	$141.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $119.37 / $244.41	Professional		$56.52	$119.37	$244.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $108.75 / $237.66	Professional		$55.10	$108.75	$237.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $54.07 / $108.96	Professional		$34.61	$54.07	$108.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $84.78 / $148.72	Professional		$48.66	$84.78	$148.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $272.35 / $276.80	Facility		$55.00	$272.35	$276.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $647.52 / $679.95	Professional		$377.00	$647.52	$679.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.70 / $86.51 / $158.47	Facility		$48.70	$86.51	$158.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $112.80 / $224.92	Professional		$55.41	$112.80	$224.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $152.31 / $267.72	Professional		$152.31	$152.31	$267.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $51.94 / $110.06	Professional		$34.61	$51.94	$110.06
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,506.00 / $6,323.00	Facility		$466.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $112.20 / $269.02	Professional		$66.98	$112.20	$269.02