Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.77 / $5,382.00 / $16,196.79	Facility		$504.77	$5,382.00	$16,196.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.88 / $111.65 / $435.20	Professional		$69.88	$111.65	$435.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $62.88 / $62.88	Professional		$62.88	$62.88	$62.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $104.67 / $236.43	Professional		$69.42	$104.67	$236.43
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 $74.66 / $106.65 / $219.53	Professional		$74.66	$106.65	$219.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $124.59 / $251.61	Professional		$81.73	$124.59	$251.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $115.46 / $191.53	Professional		$53.24	$115.46	$191.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.33 / $139.74 / $244.55	Professional		$85.33	$139.74	$244.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $379.97 / $9,102.00 / $11,500.00	Facility		$379.97	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $606.08 / $913.84 / $1,063.95	Professional		$606.08	$913.84	$1,063.95
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 $76.44 / $116.34 / $191.44	Facility		$76.44	$116.34	$191.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $132.57 / $258.33	Professional		$83.55	$132.57	$258.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $270.02 / $421.49	Professional		$270.02	$270.02	$421.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $90.51 / $145.15	Professional		$59.63	$90.51	$145.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,753.00 / $7,655.00	Facility		$1,410.00	$2,753.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $125.03 / $317.47	Professional		$93.60	$125.03	$317.47