Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.89 / $6,211.00 / $18,252.00	Facility		$123.89	$6,211.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $123.89 / $291.27	Professional		$65.34	$123.89	$291.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $141.52 / $141.52	Professional		$141.52	$141.52	$141.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,994.00	Facility		$2,143.00	$5,931.00	$11,994.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.13 / $123.94 / $226.39	Professional		$73.13	$123.94	$226.39
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 $62.23 / $107.93 / $226.73	Professional		$62.23	$107.93	$226.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $122.28 / $255.64	Professional		$66.23	$122.28	$255.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $176.00 / $330.15	Professional		$74.17	$176.00	$330.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $126.23 / $218.28	Professional		$65.41	$126.23	$218.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $766.65 / $766.65	Facility		$55.00	$766.65	$766.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.84 / $2,196.87 / $3,844.84	Professional		$1,097.84	$2,196.87	$3,844.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $107.07	Professional		$32.34	$32.34	$107.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.22 / $116.54 / $227.90	Facility		$61.22	$116.54	$227.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $139.10 / $310.88	Professional		$68.28	$139.10	$310.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $211.02 / $211.02 / $400.95	Professional		$211.02	$211.02	$400.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $177.84 / $485.74	Professional		$67.38	$177.84	$485.74
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $5,830.00	Facility		$545.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $141.80 / $354.60	Professional		$98.67	$141.80	$354.60