Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.31 / $4,420.00 / $16,713.00	Facility		$370.31	$4,420.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $200.98 / $728.05	Professional		$70.76	$200.98	$728.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $80.79 / $165.76	Professional		$65.84	$80.79	$165.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,589.00	Facility		$1,787.00	$4,539.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $372.40 / $678.11	Professional		$119.52	$372.40	$678.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $195.92 / $437.96	Professional		$75.90	$195.92	$437.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.71 / $119.71 / $119.71	Facility		$119.71	$119.71	$119.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $192.87 / $420.29	Professional		$77.37	$192.87	$420.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $195.46 / $282.06	Professional		$71.23	$195.46	$282.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $156.69 / $313.74	Professional		$67.25	$156.69	$313.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $314.87 / $326.27	Facility		$55.00	$314.87	$326.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $654.29 / $1,209.44 / $1,434.98	Professional		$654.29	$1,209.44	$1,434.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.01	Professional		$32.34	$32.34	$143.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.04 / $171.09 / $302.95	Facility		$78.04	$171.09	$302.95
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $65.14 / $65.14 / $65.14	Facility	80	$65.14	$65.14	$65.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $208.25 / $445.44	Professional		$80.81	$208.25	$445.44
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $56.60 / $65.50 / $93.11	Professional	80	$56.60	$65.50	$93.11
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $48.11 / $55.68 / $79.14	Professional	AS	$48.11	$55.68	$79.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $229.76 / $229.76 / $622.87	Professional		$229.76	$229.76	$622.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $168.80 / $273.64	Professional		$57.40	$168.80	$273.64
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,528.00 / $6,920.00	Facility		$587.00	$1,528.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.02 / $237.37 / $561.05	Professional		$156.02	$237.37	$561.05