Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,934.00 / $20,728.64	Facility		$2,421.00	$8,934.00	$20,728.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $927.08 / $3,591.00	Professional		$787.82	$927.08	$3,591.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $839.26 / $839.26 / $839.26	Professional		$839.26	$839.26	$839.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $12,159.00 / $34,930.00	Facility		$4,314.00	$12,159.00	$34,930.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.35 / $1,294.20 / $2,604.07	Professional		$1,033.35	$1,294.20	$2,604.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $704.48 / $1,008.82 / $2,296.31	Professional		$704.48	$1,008.82	$2,296.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.57 / $1,145.36 / $2,485.26	Professional		$880.57	$1,145.36	$2,485.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,071.63 / $1,446.70	Professional		$819.06	$1,071.63	$1,446.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $868.01 / $1,205.56 / $2,224.57	Professional		$868.01	$1,205.56	$2,224.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,309.00 / $5,415.35	Facility		$55.00	$5,309.00	$5,415.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,969.73 / $11,680.42 / $11,680.42	Professional		$7,969.73	$11,680.42	$11,680.42
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 $967.12 / $1,195.17 / $1,800.00	Facility		$967.12	$1,195.17	$1,800.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $917.59 / $1,197.52 / $2,463.69	Professional		$917.59	$1,197.52	$2,463.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,987.11 / $2,987.11 / $2,987.11	Professional		$2,987.11	$2,987.11	$2,987.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $864.82 / $1,189.13 / $1,549.35	Professional		$864.82	$1,189.13	$1,549.35
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $719.18 / $954.95 / $2,038.16	Professional		$719.18	$954.95	$2,038.16