Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,456.54 / $16,982.44	Facility		$2,691.53	$6,456.54	$16,982.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $6,606.93 / $12,302.69	Facility	50	$3,019.95	$6,606.93	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $776.25	Professional		$83.18	$169.82	$776.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $380.19 / $1,023.29	Professional	50	$151.36	$380.19	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $524.81	Professional		$165.96	$239.88	$524.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $239.88 / $446.68	Professional	50	$199.53	$239.88	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,398.83 / $8,511.38	Facility		$66.07	$2,398.83	$8,511.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $501.19	Professional		$181.97	$257.04	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $977.24	Facility		$831.76	$831.76	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $436.52	Professional		$158.49	$204.17	$436.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $229.09	Professional		$120.23	$173.78	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $354.81	Professional		$147.91	$190.55	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $45,708.82 / $45,708.82	Facility		$3,715.35	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $354.81	Facility		$162.18	$213.80	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $426.58	Professional		$154.88	$204.17	$426.58
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $257.04	Professional		$141.25	$181.97	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,549.93	Facility		$2,344.23	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $457.09	Professional		$128.82	$181.97	$457.09