Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $5,205.07 / $15,877.00	Facility		$1,539.00	$5,205.07	$15,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.31 / $694.50 / $2,501.00	Professional		$499.31	$694.50	$2,501.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $378.20 / $505.35 / $732.76	Professional		$378.20	$505.35	$732.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.12 / $914.18 / $1,709.72	Professional		$705.12	$914.18	$1,709.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $6,848.26	Facility		$66.90	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $575.85 / $1,294.08	Professional		$397.50	$575.85	$1,294.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.46 / $730.94 / $1,637.29	Professional		$538.46	$730.94	$1,637.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $730.01 / $985.51	Professional		$446.76	$730.01	$985.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.98 / $805.22 / $1,429.45	Professional		$592.98	$805.22	$1,429.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,281.32 / $5,246.20 / $16,394.00	Facility		$2,281.32	$5,246.20	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $139.63 / $497.27 / $497.27	Facility	AS	$139.63	$497.27	$497.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,838.31 / $5,838.31 / $5,838.31	Professional		$5,838.31	$5,838.31	$5,838.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.87 / $781.98 / $1,107.09	Facility		$613.87	$781.98	$1,107.09
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $68.64 / $68.64 / $195.05	Facility	AS	$68.64	$68.64	$195.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.57 / $762.12 / $1,604.72	Professional		$541.57	$762.12	$1,604.72
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,156.00 / $3,156.00 / $3,156.00	Facility		$3,156.00	$3,156.00	$3,156.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,945.19 / $1,945.19 / $1,945.19	Professional		$1,945.19	$1,945.19	$1,945.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $580.79 / $670.14 / $845.10	Professional		$580.79	$670.14	$845.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.56 / $607.59 / $1,332.21	Professional		$462.56	$607.59	$1,332.21