Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.16 / $5,382.00 / $16,573.00	Facility		$505.16	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $453.42 / $1,525.47	Professional		$325.16	$453.42	$1,525.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $432.18 / $432.18 / $471.33	Professional		$432.18	$432.18	$471.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.32 / $514.65 / $1,061.54	Professional		$341.32	$514.65	$1,061.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $352.63 / $529.54 / $1,050.79	Professional		$352.63	$529.54	$1,050.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,458.73 / $1,988.34	Facility		$499.60	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.47 / $559.46 / $1,063.06	Professional		$367.47	$559.46	$1,063.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $556.28 / $907.13	Professional		$253.16	$556.28	$907.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.27 / $582.36 / $1,026.76	Professional		$384.27	$582.36	$1,026.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,601.23 / $2,676.90 / $16,394.00	Facility		$2,601.23	$2,676.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,757.52 / $3,840.72 / $4,428.38	Professional		$2,757.52	$3,840.72	$4,428.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $384.27 / $561.00 / $857.73	Facility		$384.27	$561.00	$857.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.13 / $598.40 / $1,161.46	Professional		$382.13	$598.40	$1,161.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,241.83 / $1,241.83 / $1,764.77	Professional		$1,241.83	$1,241.83	$1,764.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.29 / $421.59 / $611.24	Professional		$263.29	$421.59	$611.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.92 / $527.52 / $1,168.85	Professional		$407.92	$527.52	$1,168.85