Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,678.25 / $16,713.00	Facility		$550.00	$5,678.25	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $439.74 / $1,469.96	Professional		$295.11	$439.74	$1,469.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $373.92 / $373.92 / $373.92	Professional		$373.92	$373.92	$373.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $440.79 / $896.01	Professional		$321.27	$440.79	$896.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $433.85 / $907.91	Professional		$303.70	$433.85	$907.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.49 / $510.39 / $936.62	Professional		$337.49	$510.39	$936.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $366.72 / $462.46 / $760.64	Professional		$366.72	$462.46	$760.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $498.56 / $861.82	Professional		$320.52	$498.56	$861.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $1,594.01 / $16,394.00	Facility		$1,472.00	$1,594.01	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.80 / $3,315.60 / $3,820.95	Professional		$2,308.80	$3,315.60	$3,820.95
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 $369.75 / $489.60 / $732.47	Facility		$369.75	$489.60	$732.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.08 / $539.57 / $1,055.90	Professional		$341.08	$539.57	$1,055.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,032.49 / $1,032.49 / $1,572.26	Professional		$1,032.49	$1,032.49	$1,572.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $336.07 / $487.53 / $660.09	Professional		$336.07	$487.53	$660.09
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 $366.43 / $486.00 / $1,085.31	Professional		$366.43	$486.00	$1,085.31