Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.96 / $4,848.00 / $16,210.00	Facility		$984.96	$4,848.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.27 / $296.45 / $1,040.00	Professional		$184.27	$296.45	$1,040.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $171.18 / $318.77	Professional		$89.97	$171.18	$318.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.49 / $417.75 / $926.75	Professional		$258.49	$417.75	$926.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $6,501.89	Facility		$69.80	$100.00	$6,501.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $464.76 / $945.34	Professional		$218.06	$464.76	$945.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,091.68 / $3,039.51	Facility		$455.00	$1,091.68	$3,039.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.89 / $391.14 / $1,073.57	Professional		$210.89	$391.14	$1,073.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $215.52 / $613.47 / $828.18	Professional		$215.52	$613.47	$828.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.39 / $467.18 / $867.92	Professional		$193.39	$467.18	$867.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.78 / $1,355.04 / $16,394.00	Facility		$1,320.78	$1,355.04	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,821.01 / $3,473.76 / $4,059.23	Professional		$1,821.01	$3,473.76	$4,059.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $408.43	Professional		$32.34	$32.34	$408.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.69 / $347.43 / $774.93	Facility		$208.69	$347.43	$774.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.88 / $477.41 / $1,234.59	Professional		$218.88	$477.41	$1,234.59
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $2,526.00 / $2,526.00	Facility		$2,526.00	$2,526.00	$2,526.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $640.79 / $640.79 / $1,592.89	Professional		$640.79	$640.79	$1,592.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $195.56 / $239.25 / $681.93	Professional		$195.56	$239.25	$681.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,761.00 / $3,965.00 / $12,135.00	Facility		$1,761.00	$3,965.00	$12,135.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.04 / $461.72 / $1,213.79	Professional		$218.04	$461.72	$1,213.79