Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,754.40 / $15,848.93	Facility		$1,202.26	$5,754.40	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $501.19	Professional		$81.28	$144.54	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $295.12	Professional		$87.10	$128.82	$295.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $891.25 / $5,754.40	Facility		$66.07	$891.25	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $263.03	Professional		$89.13	$134.90	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $776.25 / $1,479.11	Facility		$398.11	$776.25	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $398.11	Professional		$93.33	$162.18	$398.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $489.78	Professional		$70.79	$100.00	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $275.42 / $524.81	Professional		$81.28	$275.42	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $19,498.45 / $19,498.45	Facility		$3,630.78	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,137.96	Professional		$1,819.70	$2,137.96	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $346.74	Professional		$208.93	$208.93	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $144.54 / $416.87	Facility		$81.28	$144.54	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $457.09	Professional		$93.33	$169.82	$457.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $478.63	Professional		$295.12	$295.12	$478.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $316.23	Professional		$72.44	$100.00	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $275.42	Professional		$77.62	$125.89	$275.42