Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.82 / $3,919.61 / $15,572.00	Facility		$194.82	$3,919.61	$15,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $137.03 / $313.64	Professional		$35.50	$137.03	$313.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $59.26 / $80.36	Professional		$46.82	$59.26	$80.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $107.76 / $264.06	Professional		$42.99	$107.76	$264.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $104.38 / $263.27	Professional		$38.42	$104.38	$263.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $62.62	Facility		$62.62	$62.62	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $126.79 / $337.14	Professional		$40.61	$126.79	$337.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $53.58 / $308.26	Professional		$35.74	$53.58	$308.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $148.00 / $300.08	Professional		$36.04	$148.00	$300.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $317.77 / $317.77	Facility		$55.00	$317.77	$317.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.25 / $1,248.08 / $1,460.63	Professional		$645.25	$1,248.08	$1,460.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $145.84	Professional		$32.34	$32.34	$145.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.06 / $91.67 / $277.01	Facility		$40.06	$91.67	$277.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $135.41 / $430.44	Professional		$42.35	$135.41	$430.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $125.18 / $125.18 / $567.57	Professional		$125.18	$125.18	$567.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $58.59 / $253.92	Professional		$35.74	$58.59	$253.92
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $183.90 / $434.88	Professional		$134.12	$183.90	$434.88