Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,630.27 / $12,882.50	Facility		$190.55	$2,630.27	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $93.33 / $363.08	Professional		$42.66	$93.33	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $104.71 / $162.18	Professional		$50.12	$104.71	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $13,489.63	Facility		$3,548.13	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $89.13 / $263.03	Professional		$43.65	$89.13	$263.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $158.49 / $257.04	Professional	50	$81.28	$158.49	$257.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $416.87 / $7,762.47	Facility		$66.07	$416.87	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $194.98	Professional		$53.70	$89.13	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $218.78	Professional		$53.70	$93.33	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $199.53	Professional		$64.57	$104.71	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $131.83 / $263.03	Professional		$57.54	$131.83	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $28,840.32 / $28,840.32	Facility		$2,454.71	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $1,096.48 / $1,096.48	Professional		$120.23	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $181.97	Professional		$107.15	$107.15	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $102.33 / $199.53	Facility		$54.95	$102.33	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $229.09	Professional		$54.95	$95.50	$229.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $416.87	Professional		$199.53	$199.53	$416.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $141.25 / $194.98	Professional		$58.88	$141.25	$194.98
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 $47.86 / $85.11 / $190.55	Professional		$47.86	$85.11	$190.55