Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,888.44 / $16,595.87	Facility		$1,659.59	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $416.87	Professional		$81.28	$141.25	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $363.08	Professional		$93.33	$165.96	$363.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $707.95 / $5,754.40	Facility		$66.07	$707.95	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $331.13	Professional		$100.00	$154.88	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $269.15	Professional		$95.50	$147.91	$269.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $204.17	Professional		$85.11	$114.82	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $281.84	Professional		$75.86	$151.36	$281.84
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 $1,047.13 / $1,202.26 / $1,202.26	Professional		$1,047.13	$1,202.26	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $208.93	Professional		$123.03	$123.03	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $134.90 / $223.87	Facility		$81.28	$134.90	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $275.42	Professional		$95.50	$147.91	$275.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $478.63	Professional		$302.00	$302.00	$478.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $169.82	Professional		$77.62	$128.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $7,943.28	Facility		$1,479.11	$2,951.21	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $239.88	Professional		$79.43	$125.89	$239.88