Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.47 / $4,848.00 / $16,008.00	Facility		$293.47	$4,848.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $216.21 / $702.58	Professional		$109.22	$216.21	$702.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $688.91 / $688.91 / $688.91	Professional		$688.91	$688.91	$688.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,863.00 / $11,400.00	Facility		$2,160.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $261.45 / $712.15	Professional		$140.86	$261.45	$712.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $244.06 / $478.85	Professional		$126.98	$244.06	$478.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $255.71 / $489.30	Professional		$130.63	$255.71	$489.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $180.63 / $418.32	Professional		$129.02	$180.63	$418.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $242.00 / $416.30	Professional		$115.92	$242.00	$416.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $526.83 / $569.62	Facility		$55.00	$526.83	$569.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $931.65 / $1,792.00 / $2,068.73	Professional		$931.65	$1,792.00	$2,068.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $209.84	Professional		$32.34	$32.34	$209.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $232.18 / $407.08	Facility		$118.00	$232.18	$407.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $279.98 / $622.08	Professional		$135.75	$279.98	$622.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $392.89 / $392.89 / $852.12	Professional		$392.89	$392.89	$852.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $143.29 / $344.45	Professional		$104.21	$143.29	$344.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $8,345.00	Facility		$1,410.00	$2,761.00	$8,345.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.90 / $295.95 / $649.19	Professional		$204.90	$295.95	$649.19