Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $5,011.87 / $15,135.61	Facility		$707.95	$5,011.87	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $478.63	Professional		$107.15	$158.49	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $158.49 / $199.53	Professional		$77.62	$158.49	$199.53
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 $102.33 / $154.88 / $416.87	Professional		$102.33	$154.88	$416.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,949.84 / $5,754.40	Facility		$66.07	$1,949.84	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $354.81	Professional		$112.20	$158.49	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $331.13	Professional		$120.23	$173.78	$331.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $154.88 / $257.04	Professional		$50.12	$154.88	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $338.84	Professional		$120.23	$190.55	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,412.54	Professional		$1,230.27	$1,412.54	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $239.88	Professional		$144.54	$144.54	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $269.15	Facility		$104.71	$158.49	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $331.13	Professional		$120.23	$173.78	$331.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $562.34	Professional		$389.05	$389.05	$562.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $190.55	Professional		$51.29	$85.11	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,000.00	Facility		$2,344.23	$4,365.16	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $295.12	Professional		$97.72	$144.54	$295.12