Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $5,076.00 / $17,380.00	Facility		$240.50	$5,076.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $201.22 / $426.57	Professional		$142.77	$201.22	$426.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.14 / $196.14 / $208.39	Professional		$196.14	$196.14	$208.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.05 / $231.22 / $517.37	Professional		$157.05	$231.22	$517.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,905.14	Facility		$67.90	$100.00	$4,905.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $225.89 / $516.08	Professional		$136.44	$225.89	$516.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.56 / $547.26 / $1,234.51	Facility		$196.56	$547.26	$1,234.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.56 / $245.57 / $539.95	Professional		$161.56	$245.57	$539.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $208.86 / $336.90	Professional		$105.36	$208.86	$336.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $245.17 / $426.74	Professional		$159.50	$245.17	$426.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,064.64 / $1,074.48	Facility		$55.00	$1,064.64	$1,074.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.72 / $1,593.12 / $1,869.00	Professional		$1,120.72	$1,593.12	$1,869.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $180.62	Professional		$32.34	$32.34	$180.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.19 / $243.10 / $382.50	Facility		$164.19	$243.10	$382.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.95 / $272.10 / $549.40	Professional		$164.95	$272.10	$549.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $500.23 / $500.23 / $715.41	Professional		$500.23	$500.23	$715.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.87 / $199.30 / $312.05	Professional		$132.87	$199.30	$312.05
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $2,562.00 / $7,655.00	Facility		$520.00	$2,562.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.64 / $231.82 / $547.24	Professional		$167.64	$231.82	$547.24