Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.89 / $3,363.00 / $16,125.00	Facility		$219.89	$3,363.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $183.15 / $689.73	Professional		$87.92	$183.15	$689.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $209.51 / $268.58	Professional		$185.44	$209.51	$268.58
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 $87.74 / $167.79 / $415.45	Professional		$87.74	$167.79	$415.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,021.77	Facility		$67.90	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $158.38 / $332.41	Professional		$88.03	$158.38	$332.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $730.77 / $1,651.36	Facility		$339.00	$730.77	$1,651.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $207.97 / $495.78	Professional		$102.19	$207.97	$495.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $133.60 / $392.99	Professional		$79.67	$133.60	$392.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $242.50 / $427.30	Professional		$104.87	$242.50	$427.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $702.78 / $716.16 / $12,000.00	Facility		$702.78	$716.16	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $890.51 / $1,677.52 / $1,989.53	Professional		$890.51	$1,677.52	$1,989.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $326.25	Professional		$32.34	$32.34	$326.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.26 / $168.58 / $366.70	Facility		$93.26	$168.58	$366.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $231.97 / $573.76	Professional		$103.90	$231.97	$573.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $322.50 / $322.50 / $733.64	Professional		$322.50	$322.50	$733.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $130.61 / $336.01	Professional		$79.67	$130.61	$336.01
United Facility/Professional Facility Modifier Low / Median / High Price $447.00 / $2,527.00 / $7,399.00	Facility		$447.00	$2,527.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.59 / $225.33 / $545.22	Professional		$159.59	$225.33	$545.22