Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $6,537.00 / $18,252.00	Facility		$59.97	$6,537.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $65.33 / $384.00	Professional		$26.69	$65.33	$384.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $92.14 / $104.51	Professional		$79.02	$92.14	$104.51
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 $26.11 / $58.59 / $137.90	Professional		$26.11	$58.59	$137.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,596.84	Facility		$65.90	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $56.03 / $105.91	Professional		$28.06	$56.03	$105.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $70.55 / $196.75	Professional		$31.36	$70.55	$196.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $43.75 / $152.51	Professional		$26.43	$43.75	$152.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $91.78 / $190.40	Professional		$33.78	$91.78	$190.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $163.47 / $181.31	Facility		$55.00	$163.47	$181.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $368.16 / $709.12 / $826.88	Professional		$368.16	$709.12	$826.88
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 $31.34 / $57.88 / $141.75	Facility		$31.34	$57.88	$141.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $73.65 / $202.91	Professional		$31.56	$73.65	$202.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $112.66 / $335.06	Professional		$112.66	$112.66	$335.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $42.25 / $115.61	Professional		$29.61	$42.25	$115.61
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 $61.50 / $93.72 / $231.98	Professional		$61.50	$93.72	$231.98