Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $4,337.00 / $13,488.00	Facility		$694.00	$4,337.00	$13,488.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $419.80 / $2,030.00	Professional		$78.73	$419.80	$2,030.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $118.75 / $475.43	Professional		$118.75	$118.75	$475.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $583.02 / $1,267.02	Professional		$103.01	$583.02	$1,267.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $226.63 / $4,303.00	Facility		$99.00	$226.63	$4,303.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $326.87 / $875.66	Professional		$86.60	$326.87	$875.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $466.50 / $1,291.69	Professional		$91.16	$466.50	$1,291.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $476.17 / $571.40	Professional		$90.59	$476.17	$571.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $294.13 / $677.31	Professional		$82.94	$294.13	$677.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $387.04 / $402.90	Facility		$55.00	$387.04	$402.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.10 / $2,545.28 / $2,975.78	Professional		$1,317.10	$2,545.28	$2,975.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.44 / $304.89 / $614.46	Facility		$91.44	$304.89	$614.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.21 / $480.29 / $1,195.52	Professional		$95.21	$480.29	$1,195.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $281.91 / $281.91 / $1,542.97	Professional		$281.91	$281.91	$1,542.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $476.17 / $714.26	Professional		$83.18	$476.17	$714.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,940.00	Facility		$1,407.00	$2,753.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.75 / $552.16 / $1,895.63	Professional		$374.75	$552.16	$1,895.63