Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $10,000.00 / $21,379.62	Facility		$794.33	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $354.81	Professional		$72.44	$97.72	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $134.90	Professional		$112.20	$123.03	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $234.42	Professional		$72.44	$102.33	$234.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $147.91 / $1,778.28	Facility		$66.07	$147.91	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $223.87	Professional		$75.86	$104.71	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $204.17	Professional		$64.57	$107.15	$204.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $169.82	Professional		$47.86	$57.54	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $109.65 / $223.87	Professional		$42.66	$109.65	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $977.24	Professional		$831.76	$977.24	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $162.18	Professional		$97.72	$97.72	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $100.00 / $173.78	Facility		$44.67	$100.00	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $213.80	Professional		$64.57	$107.15	$213.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $363.08	Professional		$173.78	$173.78	$363.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $125.89	Professional		$43.65	$67.61	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $173.78	Professional		$48.98	$91.20	$173.78