Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.30 / $5,073.00 / $17,054.00	Facility		$538.30	$5,073.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.40 / $423.83 / $1,056.90	Professional		$241.40	$423.83	$1,056.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.95 / $196.51 / $271.97	Professional		$184.95	$196.51	$271.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.74 / $485.45 / $1,021.50	Professional		$310.74	$485.45	$1,021.50
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 $279.85 / $490.89 / $936.96	Professional		$279.85	$490.89	$936.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $900.00 / $2,226.34	Facility		$455.00	$900.00	$2,226.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.81 / $486.71 / $985.17	Professional		$263.81	$486.71	$985.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $247.32 / $393.74 / $809.15	Professional		$247.32	$393.74	$809.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.86 / $489.26 / $868.05	Professional		$224.86	$489.26	$868.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,279.15 / $1,310.90 / $16,394.00	Facility		$1,279.15	$1,310.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.00 / $3,456.08 / $4,059.83	Professional		$1,906.00	$3,456.08	$4,059.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $407.07	Professional		$32.34	$32.34	$407.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.97 / $475.28 / $782.82	Facility		$258.97	$475.28	$782.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.60 / $526.94 / $1,194.43	Professional		$270.60	$526.94	$1,194.43
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,838.00 / $1,838.00 / $1,838.00	Facility		$1,838.00	$1,838.00	$1,838.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $741.89 / $741.89 / $1,574.98	Professional		$741.89	$741.89	$1,574.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $225.68 / $484.38 / $666.03	Professional		$225.68	$484.38	$666.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.84 / $522.47 / $1,196.70	Professional		$378.84	$522.47	$1,196.70