Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.25 / $5,741.58 / $16,713.00	Facility		$512.25	$5,741.58	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.10 / $383.70 / $1,304.58	Professional		$206.10	$383.70	$1,304.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.08 / $415.17 / $726.34	Professional		$258.08	$415.17	$726.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $6,797.00 / $13,707.00	Facility		$2,675.00	$6,797.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.52 / $398.25 / $859.30	Professional		$280.52	$398.25	$859.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $248.02 / $354.32 / $762.78	Professional		$248.02	$354.32	$762.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.05 / $442.72 / $865.52	Professional		$278.05	$442.72	$865.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $342.08 / $627.40	Professional		$168.65	$342.08	$627.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.58 / $448.16 / $797.48	Professional		$260.58	$448.16	$797.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,766.64 / $3,555.55 / $26,542.00	Facility		$1,766.64	$3,555.55	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,874.40 / $3,045.84 / $3,541.35	Professional		$1,874.40	$3,045.84	$3,541.35
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 $275.20 / $394.49 / $627.40	Facility		$275.20	$394.49	$627.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.62 / $462.22 / $872.65	Professional		$286.62	$462.22	$872.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $857.66 / $857.66 / $1,427.48	Professional		$857.66	$857.66	$1,427.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $188.89 / $276.49 / $475.39	Professional		$188.89	$276.49	$475.39
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,533.00 / $5,830.00	Facility		$570.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.18 / $437.07 / $966.65	Professional		$320.18	$437.07	$966.65