Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $5,324.00 / $16,713.00	Facility		$302.62	$5,324.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $269.47 / $738.64	Professional		$146.86	$269.47	$738.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $102.51 / $102.51	Professional		$102.51	$102.51	$102.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.55 / $228.72 / $571.86	Professional		$166.55	$228.72	$571.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $299.33 / $548.34	Professional		$172.70	$299.33	$548.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $299.43 / $572.89	Professional		$168.65	$299.43	$572.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $215.62 / $516.82	Professional		$113.92	$215.62	$516.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $316.87 / $580.19	Professional		$170.71	$316.87	$580.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $766.04 / $836.19 / $16,394.00	Facility		$766.04	$836.19	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.00 / $2,147.19 / $2,545.19	Professional		$1,232.00	$2,147.19	$2,545.19
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 $169.62 / $273.06 / $478.54	Facility		$169.62	$273.06	$478.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $316.08 / $631.13	Professional		$170.51	$316.08	$631.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $510.35 / $510.35 / $969.57	Professional		$510.35	$510.35	$969.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.30 / $215.50 / $425.47	Professional		$158.30	$215.50	$425.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.87 / $298.44 / $653.91	Professional		$224.87	$298.44	$653.91