Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,155.00 / $15,877.00	Facility		$234.42	$3,155.00	$15,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $188.24 / $802.51	Professional		$132.90	$188.24	$802.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $337.71 / $337.71 / $337.71	Professional		$337.71	$337.71	$337.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $201.81 / $436.68	Professional		$129.02	$201.81	$436.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,122.07	Facility		$67.90	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $126.27 / $182.63 / $410.93	Professional		$126.27	$182.63	$410.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $400.00 / $775.00	Facility		$156.81	$400.00	$775.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $219.89 / $484.50	Professional		$145.21	$219.89	$484.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $174.04 / $286.69	Professional		$72.97	$174.04	$286.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $210.62 / $370.31	Professional		$140.69	$210.62	$370.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $943.62 / $965.16 / $12,000.00	Facility		$943.62	$965.16	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $993.28 / $1,382.24 / $1,626.15	Professional		$993.28	$1,382.24	$1,626.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.21	Professional		$32.34	$32.34	$162.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.99 / $200.50 / $316.02	Facility		$137.99	$200.50	$316.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.27 / $243.85 / $488.73	Professional		$150.27	$243.85	$488.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $441.76 / $441.76 / $634.11	Professional		$441.76	$441.76	$634.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $149.10 / $265.45	Professional		$92.02	$149.10	$265.45
United Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $1,302.00 / $5,691.00	Facility		$141.00	$1,302.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $206.90 / $527.72	Professional		$150.22	$206.90	$527.72