Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,888.44 / $16,595.87	Facility		$1,023.29	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $39.81 / $173.78	Professional		$20.89	$39.81	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $128.82	Professional		$28.18	$31.62	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $89.13	Professional		$25.70	$42.66	$89.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $5,888.44	Facility		$64.57	$100.00	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $97.72	Professional		$31.62	$46.77	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $64.57	Professional		$19.95	$37.15	$64.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $46.77	Professional		$14.79	$18.62	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.88 / $63.10	Professional		$14.79	$33.88	$63.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $269.15	Professional		$239.88	$269.15	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $46.77	Professional		$27.54	$27.54	$46.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $34.67 / $57.54	Facility		$15.49	$34.67	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $66.07	Professional		$19.95	$37.15	$66.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $109.65	Professional		$56.23	$56.23	$109.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $35.48	Professional		$14.79	$20.89	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $60.26	Professional		$15.49	$30.90	$60.26