Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.69 / $4,436.00 / $16,109.00	Facility		$326.69	$4,436.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $116.92 / $341.52	Professional		$67.50	$116.92	$341.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $106.25 / $112.89	Professional		$56.44	$106.25	$112.89
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 $71.34 / $115.62 / $246.64	Professional		$71.34	$115.62	$246.64
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 $79.06 / $112.94 / $222.63	Professional		$79.06	$112.94	$222.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $128.22 / $260.12	Professional		$73.64	$128.22	$260.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $79.84 / $180.65	Professional		$61.80	$79.84	$180.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $124.22 / $229.64	Professional		$60.15	$124.22	$229.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $274.01 / $295.12	Facility		$55.00	$274.01	$295.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $456.38 / $882.40 / $1,010.93	Professional		$456.38	$882.40	$1,010.93
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 $65.87 / $107.12 / $182.56	Facility		$65.87	$107.12	$182.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $133.88 / $268.74	Professional		$76.79	$133.88	$268.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $202.71 / $202.71 / $405.87	Professional		$202.71	$202.71	$405.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $101.32 / $167.34	Professional		$60.47	$101.32	$167.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,655.00	Facility		$1,407.00	$2,753.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $125.23 / $307.60	Professional		$93.92	$125.23	$307.60