Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,815.00 / $16,973.00	Facility		$550.00	$5,815.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $261.88 / $627.97	Professional		$131.15	$261.88	$627.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.67 / $282.67 / $282.67	Professional		$282.67	$282.67	$282.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $213.65 / $506.70	Professional		$144.40	$213.65	$506.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $253.77 / $534.27	Professional		$144.59	$253.77	$534.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.93 / $407.64 / $960.38	Facility		$344.93	$407.64	$960.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.76 / $293.35 / $814.75	Professional		$146.76	$293.35	$814.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $188.06 / $452.24	Professional		$56.22	$188.06	$452.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $327.69 / $593.00	Professional		$163.63	$327.69	$593.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.24 / $1,074.83 / $16,394.00	Facility		$1,035.24	$1,074.83	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.31 / $2,246.56 / $2,650.65	Professional		$1,175.31	$2,246.56	$2,650.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $242.46 / $497.29	Facility		$126.46	$242.46	$497.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $312.81 / $796.72	Professional		$147.62	$312.81	$796.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $466.69 / $466.69 / $986.02	Professional		$466.69	$466.69	$986.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $99.25 / $457.12	Professional		$56.22	$99.25	$457.12
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,506.00 / $6,323.00	Facility		$466.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $333.60 / $1,018.61	Professional		$215.60	$333.60	$1,018.61