Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,701.00	Facility		$2,197.85	$6,695.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.21 / $445.51 / $1,249.79	Professional		$371.21	$445.51	$1,249.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $347.70 / $347.70 / $347.70	Professional		$347.70	$347.70	$347.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.34 / $636.72 / $1,296.08	Professional		$457.34	$636.72	$1,296.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $341.64 / $490.48 / $1,104.43	Professional		$341.64	$490.48	$1,104.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,360.35 / $4,227.49	Facility		$1,992.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.78 / $580.79 / $1,263.58	Professional		$459.78	$580.79	$1,263.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.56 / $526.65 / $1,685.12	Professional		$371.56	$526.65	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.62 / $599.04 / $1,057.52	Professional		$432.62	$599.04	$1,057.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,676.88 / $6,817.20	Facility		$55.00	$1,676.88	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,319.84 / $3,395.76 / $3,798.08	Professional		$3,319.84	$3,395.76	$3,798.08
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 $463.69 / $582.91 / $802.37	Facility		$463.69	$582.91	$802.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.81 / $606.02 / $1,229.23	Professional		$460.81	$606.02	$1,229.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,490.44 / $1,490.44 / $1,490.44	Professional		$1,490.44	$1,490.44	$1,490.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $425.38 / $483.02 / $631.64	Professional		$425.38	$483.02	$631.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.35 / $486.31 / $1,009.95	Professional		$364.35	$486.31	$1,009.95