Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.78 / $5,980.00 / $17,538.00	Facility		$333.78	$5,980.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.65 / $282.80 / $1,265.00	Professional		$206.65	$282.80	$1,265.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.98 / $301.98 / $301.98	Professional		$301.98	$301.98	$301.98
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 $190.95 / $300.20 / $647.21	Professional		$190.95	$300.20	$647.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,367.09	Facility		$67.90	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $156.35 / $232.86 / $527.03	Professional		$156.35	$232.86	$527.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,766.05 / $4,917.14	Facility		$629.00	$1,766.05	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.04 / $355.10 / $843.90	Professional		$217.04	$355.10	$843.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $155.50 / $564.29	Professional		$102.75	$155.50	$564.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.93 / $442.31 / $735.00	Professional		$335.93	$442.31	$735.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,908.66 / $7,929.30	Facility		$55.00	$1,908.66	$7,929.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,484.56 / $2,528.56 / $2,926.35	Professional		$2,484.56	$2,528.56	$2,926.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $154.11	Professional		$32.34	$32.34	$154.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.14 / $348.64 / $568.48	Facility		$180.14	$348.64	$568.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $382.30 / $868.51	Professional		$218.78	$382.30	$868.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,104.16 / $1,104.16 / $1,104.16	Professional		$1,104.16	$1,104.16	$1,104.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $154.13 / $464.28	Professional		$82.20	$154.13	$464.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $6,955.00 / $16,173.00	Facility		$3,087.00	$6,955.00	$16,173.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.51 / $342.34 / $833.24	Professional		$240.51	$342.34	$833.24