Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $4,848.00 / $15,572.00	Facility		$464.00	$4,848.00	$15,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $135.50 / $515.54	Professional		$62.85	$135.50	$515.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $144.72 / $154.31	Professional		$70.15	$144.72	$154.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $127.78 / $289.19	Professional		$86.64	$127.78	$289.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $127.05 / $264.95	Professional		$88.37	$127.05	$264.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $154.32 / $305.42	Professional		$102.47	$154.32	$305.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $147.88 / $234.73	Professional		$65.52	$147.88	$234.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $171.46 / $300.06	Professional		$109.18	$171.46	$300.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $485.92 / $9,102.00 / $11,500.00	Facility		$485.92	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $773.60 / $1,121.92 / $1,308.68	Professional		$773.60	$1,121.92	$1,308.68
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 $92.84 / $143.63 / $234.73	Facility		$92.84	$143.63	$234.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $163.02 / $311.38	Professional		$103.75	$163.02	$311.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $341.08 / $341.08 / $508.18	Professional		$341.08	$341.08	$508.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $112.45 / $177.89	Professional		$73.39	$112.45	$177.89
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,506.00 / $5,691.00	Facility		$526.00	$1,506.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.61 / $152.25 / $350.11	Professional		$113.61	$152.25	$350.11