Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.48 / $4,420.00 / $16,008.00	Facility		$242.48	$4,420.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $140.53 / $442.49	Professional		$53.38	$140.53	$442.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $153.16 / $268.55	Professional		$144.66	$153.16	$268.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $156.13 / $304.33	Professional		$61.75	$156.13	$304.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $129.27 / $259.27	Professional		$62.80	$129.27	$259.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $150.04 / $308.48	Professional		$61.85	$150.04	$308.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $135.88 / $234.92	Professional		$62.66	$135.88	$234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $153.00 / $294.47	Professional		$56.32	$153.00	$294.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $255.86 / $276.39	Facility		$55.00	$255.86	$276.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.32 / $1,100.80 / $1,289.09	Professional		$549.32	$1,100.80	$1,289.09
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 $54.93 / $122.57 / $237.41	Facility		$54.93	$122.57	$237.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $151.37 / $313.08	Professional		$61.97	$151.37	$313.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $193.09 / $509.26	Professional		$193.09	$193.09	$509.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $158.27 / $217.62	Professional		$56.89	$158.27	$217.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $7,655.00	Facility		$1,410.00	$2,761.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $155.91 / $352.02	Professional		$119.28	$155.91	$352.02