Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $6,577.34 / $19,011.00	Facility		$563.00	$6,577.34	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.17 / $434.39 / $1,556.53	Professional		$272.17	$434.39	$1,556.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $355.35 / $382.14	Professional		$239.83	$355.35	$382.14
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 $317.79 / $439.84 / $882.83	Professional		$317.79	$439.84	$882.83
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 $312.83 / $465.21 / $908.40	Professional		$312.83	$465.21	$908.40
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 $328.41 / $501.74 / $928.46	Professional		$328.41	$501.74	$928.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.92 / $406.56 / $776.56	Professional		$183.92	$406.56	$776.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.29 / $507.64 / $877.64	Professional		$319.29	$507.64	$877.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,467.52 / $1,589.45 / $26,542.00	Facility		$1,467.52	$1,589.45	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,291.12 / $3,359.92 / $3,887.18	Professional		$2,291.12	$3,359.92	$3,887.18
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 $360.00 / $491.11 / $735.76	Facility		$360.00	$491.11	$735.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.62 / $534.80 / $1,044.68	Professional		$334.62	$534.80	$1,044.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,012.56 / $1,012.56 / $1,571.56	Professional		$1,012.56	$1,012.56	$1,571.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.48 / $347.90 / $639.32	Professional		$257.48	$347.90	$639.32
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 $361.39 / $477.74 / $1,086.56	Professional		$361.39	$477.74	$1,086.56