Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.58 / $3,363.00 / $15,522.00	Facility		$342.58	$3,363.00	$15,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.93 / $208.28 / $897.00	Professional		$144.93	$208.28	$897.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.82 / $164.82 / $164.82	Professional		$164.82	$164.82	$164.82
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 $144.50 / $197.98 / $404.28	Professional		$144.50	$197.98	$404.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.67 / $172.38 / $380.09	Professional		$120.67	$172.38	$380.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $201.60 / $374.37	Professional		$122.71	$201.60	$374.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $137.88 / $239.17	Professional		$84.51	$137.88	$239.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $173.42 / $307.13	Professional		$103.66	$173.42	$307.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $464.72 / $9,102.00 / $11,500.00	Facility		$464.72	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,162.40 / $1,334.55	Professional		$800.00	$1,162.40	$1,334.55
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 $121.10 / $191.85 / $273.18	Facility		$121.10	$191.85	$273.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $203.25 / $383.85	Professional		$126.53	$203.25	$383.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $335.23 / $335.23 / $520.36	Professional		$335.23	$335.23	$520.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $133.22 / $191.84	Professional		$94.65	$133.22	$191.84
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 $124.60 / $179.20 / $400.41	Professional		$124.60	$179.20	$400.41