Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.39 / $5,076.00 / $17,054.00	Facility		$823.39	$5,076.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $215.25 / $942.30	Professional		$113.92	$215.25	$942.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $134.18 / $222.97	Professional		$134.18	$134.18	$222.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $8,823.00 / $16,846.00	Facility		$2,456.00	$8,823.00	$16,846.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.93 / $1,007.40 / $2,197.58	Professional		$172.93	$1,007.40	$2,197.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $10,117.12	Facility		$63.90	$100.00	$10,117.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $121.66 / $488.58 / $1,315.06	Professional		$121.66	$488.58	$1,315.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.99 / $502.56 / $1,396.21	Professional		$130.99	$502.56	$1,396.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $665.67 / $871.40	Professional		$150.13	$665.67	$871.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $405.41 / $980.86	Professional		$141.24	$405.41	$980.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $681.63 / $1,044.08	Facility		$55.00	$681.63	$1,044.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,120.06 / $4,026.48 / $4,749.89	Professional		$2,120.06	$4,026.48	$4,749.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.88 / $349.55 / $1,034.15	Facility		$149.88	$349.55	$1,034.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $477.45 / $1,574.77	Professional		$135.02	$477.45	$1,574.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $473.09 / $473.09 / $2,325.60	Professional		$473.09	$473.09	$2,325.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $665.67 / $998.51	Professional		$136.19	$665.67	$998.51
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.14 / $850.32 / $1,953.75	Professional		$570.14	$850.32	$1,953.75