Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $16,713.00	Facility		$462.00	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.77 / $224.25 / $434.20	Professional		$147.77	$224.25	$434.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $98.79 / $98.79	Professional		$98.79	$98.79	$98.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.81 / $228.39 / $484.82	Professional		$146.81	$228.39	$484.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $245.31 / $536.54	Professional		$171.72	$245.31	$536.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $186.46 / $2,277.00	Facility		$186.13	$186.46	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $282.98 / $526.45	Professional		$172.52	$282.98	$526.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $139.53 / $233.10	Professional		$105.74	$139.53	$233.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $173.80 / $322.25	Professional		$95.67	$173.80	$322.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $469.25 / $569.39	Facility		$55.00	$469.25	$569.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $841.00 / $1,409.85 / $1,949.92	Professional		$841.00	$1,409.85	$1,949.92
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 $112.74 / $215.11 / $375.87	Facility		$112.74	$215.11	$375.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $284.35 / $516.48	Professional		$173.85	$284.35	$516.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $564.91 / $564.91 / $939.98	Professional		$564.91	$564.91	$939.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $167.47 / $230.27	Professional		$96.08	$167.47	$230.27
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 $206.96 / $270.64 / $600.42	Professional		$206.96	$270.64	$600.42