Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,888.44 / $15,848.93	Facility		$1,348.96	$5,888.44	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $363.08 / $1,348.96	Professional		$67.61	$363.08	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $109.65	Professional		$61.66	$61.66	$109.65
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 / $141.25 / $1,047.13	Professional		$87.10	$141.25	$1,047.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,290.87 / $5,888.44	Facility		$66.07	$2,290.87	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $457.09 / $1,318.26	Professional		$89.13	$457.09	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,659.59	Facility		$630.96	$1,023.29	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $234.42 / $1,071.52	Professional		$77.62	$234.42	$1,071.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $977.24	Professional		$66.07	$85.11	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $537.03 / $1,047.13	Professional		$60.26	$537.03	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,897.79	Facility		$54.95	$56.23	$4,897.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $4,677.35	Professional		$3,981.07	$4,677.35	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $776.25	Professional		$467.74	$467.74	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $251.19 / $1,023.29	Facility		$72.44	$251.19	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $1,202.26	Professional		$79.43	$199.53	$1,202.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $2,041.74	Professional		$234.42	$234.42	$2,041.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $630.96	Professional		$60.26	$112.20	$630.96
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 $63.10 / $398.11 / $891.25	Professional		$63.10	$398.11	$891.25