Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.80 / $6,537.00 / $18,252.00	Facility		$103.80	$6,537.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $103.80 / $452.99	Professional		$54.18	$103.80	$452.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $120.02 / $135.06	Professional		$66.70	$120.02	$135.06
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 $54.96 / $98.62 / $224.02	Professional		$54.96	$98.62	$224.02
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 $58.54 / $90.23 / $185.73	Professional		$58.54	$90.23	$185.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $116.01 / $276.89	Professional		$61.84	$116.01	$276.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $77.20 / $206.15	Professional		$39.09	$77.20	$206.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $139.13 / $259.60	Professional		$59.82	$139.13	$259.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $270.97 / $294.55	Facility		$55.00	$270.97	$294.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $511.96 / $978.64 / $1,139.84	Professional		$511.96	$978.64	$1,139.84
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 $57.94 / $97.35 / $198.19	Facility		$57.94	$97.35	$198.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $121.79 / $287.42	Professional		$62.26	$121.79	$287.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $200.20 / $468.28	Professional		$200.20	$200.20	$468.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $64.09 / $156.24	Professional		$43.78	$64.09	$156.24
United Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $1,523.00 / $6,323.00	Facility		$585.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $131.66 / $317.81	Professional		$94.55	$131.66	$317.81