Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $5,681.00 / $16,756.00	Facility		$709.00	$5,681.00	$16,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.19 / $547.00 / $1,666.21	Professional		$304.19	$547.00	$1,666.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.17 / $351.73 / $394.63	Professional		$271.17	$351.73	$394.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.98 / $472.78 / $1,167.46	Professional		$363.98	$472.78	$1,167.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $7,602.09	Facility		$66.90	$100.00	$7,602.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $317.32 / $581.57 / $1,095.72	Professional		$317.32	$581.57	$1,095.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.36 / $604.45 / $1,155.91	Professional		$335.36	$604.45	$1,155.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $431.90 / $1,060.48	Professional		$164.18	$431.90	$1,060.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.48 / $637.11 / $1,178.31	Professional		$334.48	$637.11	$1,178.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.76 / $1,670.72 / $26,542.00	Facility		$1,516.76	$1,670.72	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,345.12 / $4,387.43 / $5,195.78	Professional		$2,345.12	$4,387.43	$5,195.78
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 $327.39 / $566.92 / $981.93	Facility		$327.39	$566.92	$981.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.02 / $641.26 / $1,284.25	Professional		$340.02	$641.26	$1,284.25
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,852.00 / $2,852.00 / $2,852.00	Facility		$2,852.00	$2,852.00	$2,852.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,033.83 / $1,033.83 / $1,911.41	Professional		$1,033.83	$1,033.83	$1,911.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.86 / $356.75 / $873.09	Professional		$229.86	$356.75	$873.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,145.00 / $4,038.00 / $9,682.00	Facility		$2,145.00	$4,038.00	$9,682.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.07 / $588.24 / $1,298.00	Professional		$454.07	$588.24	$1,298.00