Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.19 / $3,530.35 / $14,472.00	Facility		$688.19	$3,530.35	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $494.75 / $2,488.00	Professional		$72.70	$494.75	$2,488.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,951.74 / $1,951.74 / $1,951.74	Professional		$1,951.74	$1,951.74	$1,951.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,456.00	Facility		$2,137.00	$5,863.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $666.64 / $1,413.56	Professional		$94.50	$666.64	$1,413.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $300.60 / $995.20	Professional		$79.64	$300.60	$995.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $520.29 / $1,420.05	Professional		$83.54	$520.29	$1,420.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $506.70 / $608.04	Professional		$83.02	$506.70	$608.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $340.43 / $696.30	Professional		$76.05	$340.43	$696.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $369.69 / $665.10	Facility		$55.00	$369.69	$665.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.53 / $2,606.64 / $3,055.88	Professional		$1,350.53	$2,606.64	$3,055.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.78 / $312.52 / $675.82	Facility		$83.78	$312.52	$675.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $537.49 / $1,306.10	Professional		$87.09	$537.49	$1,306.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $255.48 / $255.48 / $1,619.92	Professional		$255.48	$255.48	$1,619.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $506.70 / $760.05	Professional		$76.27	$506.70	$760.05
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.40 / $612.00 / $1,661.03	Professional		$394.40	$612.00	$1,661.03