Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $4,056.00 / $15,795.00	Facility		$139.13	$4,056.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $59.14 / $332.08	Professional		$24.82	$59.14	$332.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $58.50 / $103.35	Professional		$22.90	$58.50	$103.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $63.26 / $126.56	Professional		$27.75	$63.26	$126.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $58.48 / $105.07	Professional		$28.21	$58.48	$105.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $60.79 / $123.85	Professional		$27.78	$60.79	$123.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.73 / $89.99	Professional		$28.18	$54.73	$89.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $60.75 / $114.73	Professional		$25.33	$60.75	$114.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $115.03 / $124.26	Facility		$55.00	$115.03	$124.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $209.46 / $426.96 / $499.65	Professional		$209.46	$426.96	$499.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $48.86 / $90.94	Facility		$24.69	$48.86	$90.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $62.49 / $123.85	Professional		$27.88	$62.49	$123.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $86.32 / $201.73	Professional		$86.32	$86.32	$201.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $61.30 / $83.36	Professional		$25.57	$61.30	$83.36
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $62.35 / $153.86	Professional		$46.55	$62.35	$153.86