Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $4,678.00 / $16,573.00	Facility		$872.00	$4,678.00	$16,573.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.53 / $188.60 / $1,166.61	Facility	52	$84.53	$188.60	$1,166.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $326.48 / $927.48	Professional		$133.86	$326.48	$927.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $171.12 / $325.16	Professional		$171.12	$171.12	$325.16
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 $229.52 / $463.12 / $985.43	Professional		$229.52	$463.12	$985.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $196.58 / $379.56 / $753.24	Professional		$196.58	$379.56	$753.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.30 / $2,404.17 / $5,664.01	Facility		$2,034.30	$2,404.17	$5,664.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.06 / $406.51 / $959.76	Professional		$193.06	$406.51	$959.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $252.86 / $593.88	Professional		$189.24	$252.86	$593.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $377.24 / $683.20	Professional		$172.97	$377.24	$683.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,376.27 / $1,414.98 / $16,394.00	Facility		$1,376.27	$1,414.98	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $357.55 / $671.54 / $671.54	Facility	52	$357.55	$671.54	$671.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $2,658.56 / $3,053.40	Professional		$1,440.00	$2,658.56	$3,053.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.61 / $374.12 / $618.30	Facility		$201.61	$374.12	$618.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $415.49 / $924.91	Professional		$197.85	$415.49	$924.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $575.47 / $575.47 / $1,217.42	Professional		$575.47	$575.47	$1,217.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $210.17 / $295.01 / $507.84	Professional		$210.17	$295.01	$507.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,218.00 / $10,979.00	Facility		$2,230.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.91 / $439.57 / $1,219.32	Professional		$297.91	$439.57	$1,219.32