Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $5,146.97 / $16,713.00	Facility		$1,038.00	$5,146.97	$16,713.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.33 / $439.31 / $2,057.07	Facility	52	$69.33	$439.31	$2,057.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $701.09 / $1,948.55	Professional		$138.53	$701.09	$1,948.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.38 / $326.38 / $710.48	Professional		$326.38	$326.38	$710.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $853.19 / $2,394.88	Professional		$187.20	$853.19	$2,394.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $157.75 / $608.11 / $2,038.91	Professional		$157.75	$608.11	$2,038.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.91 / $944.16 / $2,224.37	Facility		$798.91	$944.16	$2,224.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $505.36 / $1,812.99	Professional		$167.81	$505.36	$1,812.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $174.35 / $930.99	Professional		$101.27	$174.35	$930.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $538.79 / $1,221.25	Professional		$145.88	$538.79	$1,221.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $834.50 / $1,170.03	Facility		$55.00	$834.50	$1,170.03
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $302.42 / $566.58 / $566.58	Facility	52	$302.42	$566.58	$566.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,744.67 / $4,592.00 / $5,366.48	Professional		$2,744.67	$4,592.00	$5,366.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.25 / $646.54 / $1,145.79	Facility		$168.25	$646.54	$1,145.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $505.36 / $1,711.03	Professional		$171.75	$505.36	$1,711.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $498.29 / $498.29 / $2,079.12	Professional		$498.29	$498.29	$2,079.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $175.98 / $928.59	Professional		$127.70	$175.98	$928.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,731.00 / $7,940.00	Facility		$1,371.00	$2,731.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.40 / $871.92 / $2,092.92	Professional		$491.40	$871.92	$2,092.92