Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.47 / $4,848.00 / $16,008.00	Facility		$623.47	$4,848.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.46 / $564.32 / $2,183.62	Professional		$447.46	$564.32	$2,183.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,021.93 / $1,104.99 / $1,104.99	Professional		$1,021.93	$1,104.99	$1,104.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $4,734.00 / $9,589.00	Facility		$1,894.00	$4,734.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.35 / $678.07 / $1,681.51	Professional		$486.35	$678.07	$1,681.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,693.95	Facility		$65.90	$100.00	$1,693.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $447.24 / $638.91 / $1,469.78	Professional		$447.24	$638.91	$1,469.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.42 / $757.43 / $1,484.44	Professional		$532.42	$757.43	$1,484.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $622.24 / $771.87 / $1,029.23	Professional		$622.24	$771.87	$1,029.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.94 / $733.76 / $1,439.30	Professional		$528.94	$733.76	$1,439.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,477.44 / $2,681.04	Facility		$55.00	$2,477.44	$2,681.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,853.12 / $5,064.29 / $5,380.58	Professional		$3,853.12	$5,064.29	$5,380.58
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 $522.44 / $773.04 / $1,176.38	Facility		$522.44	$773.04	$1,176.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $536.65 / $800.62 / $1,478.32	Professional		$536.65	$800.62	$1,478.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,719.08 / $1,719.08 / $2,095.35	Professional		$1,719.08	$1,719.08	$2,095.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $551.50 / $823.38 / $1,235.07	Professional		$551.50	$823.38	$1,235.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.62 / $682.79 / $1,586.82	Professional		$490.62	$682.79	$1,586.82