Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,888.44 / $15,848.93	Facility		$1,202.26	$5,888.44	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $645.65	Professional		$91.20	$181.97	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $154.88	Professional		$104.71	$107.15	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $524.81	Professional		$147.91	$213.80	$524.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,041.74 / $5,754.40	Facility		$66.07	$2,041.74	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $446.68	Professional		$141.25	$208.93	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $407.38	Professional		$151.36	$213.80	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $302.00	Professional		$87.10	$190.55	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $407.38	Professional		$151.36	$234.42	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $13,489.63 / $13,489.63	Facility		$2,041.74	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,737.80	Professional		$1,479.11	$1,737.80	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $288.40	Professional		$173.78	$173.78	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $316.23	Facility		$141.25	$208.93	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $416.87	Professional		$151.36	$218.78	$416.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $676.08	Professional		$512.86	$512.86	$676.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $229.09	Professional		$91.20	$141.25	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,000.00	Facility		$2,344.23	$4,365.16	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $363.08	Professional		$128.82	$181.97	$363.08