Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.15 / $5,189.00 / $16,210.00	Facility		$625.15	$5,189.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $575.71 / $1,816.44	Professional		$438.50	$575.71	$1,816.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $625.79 / $625.79 / $625.79	Professional		$625.79	$625.79	$625.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.68 / $582.08 / $1,248.63	Professional		$430.68	$582.08	$1,248.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $374.86 / $535.52 / $1,205.13	Professional		$374.86	$535.52	$1,205.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.42 / $677.21 / $1,382.05	Professional		$492.42	$677.21	$1,382.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $690.68 / $937.72	Professional		$224.12	$690.68	$937.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.00 / $724.45 / $1,216.83	Professional		$516.00	$724.45	$1,216.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,366.40 / $5,564.75 / $16,394.00	Facility		$2,366.40	$5,564.75	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,663.20 / $4,603.28 / $5,440.05	Professional		$3,663.20	$4,603.28	$5,440.05
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 $471.82 / $662.89 / $952.60	Facility		$471.82	$662.89	$952.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.22 / $704.36 / $1,387.29	Professional		$501.22	$704.36	$1,387.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,629.90 / $1,629.90 / $2,061.48	Professional		$1,629.90	$1,629.90	$2,061.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.02 / $423.96 / $710.16	Professional		$251.02	$423.96	$710.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,218.00 / $9,131.00	Facility		$2,348.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.03 / $640.45 / $1,482.24	Professional		$483.03	$640.45	$1,482.24