Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $489.78 / $2,137.96	Facility		$100.00	$489.78	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $371.54	Professional		$53.70	$107.15	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $173.78	Professional		$79.43	$104.71	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $173.78	Professional		$58.88	$93.33	$173.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $165.96 / $1,778.28	Facility		$66.07	$165.96	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $186.21	Professional		$57.54	$97.72	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $165.96	Professional		$53.70	$91.20	$165.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $147.91	Professional		$39.81	$66.07	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $97.72 / $186.21	Professional		$37.15	$97.72	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,698.24	Facility		$54.95	$56.23	$1,698.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $724.44	Professional		$616.60	$724.44	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $120.23	Professional		$70.79	$70.79	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $85.11 / $154.88	Facility		$43.65	$85.11	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $177.83	Professional		$53.70	$93.33	$177.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $269.15	Professional		$134.90	$134.90	$269.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $93.33 / $138.04	Professional		$37.15	$93.33	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,548.82 / $6,309.57	Facility		$588.84	$1,548.82	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $134.90	Professional		$38.90	$72.44	$134.90