Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.21 / $5,382.00 / $16,210.00	Facility		$731.21	$5,382.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.68 / $664.29 / $1,544.37	Professional		$486.68	$664.29	$1,544.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $640.66 / $640.66 / $722.01	Professional		$640.66	$640.66	$722.01
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 $511.54 / $764.91 / $1,549.80	Professional		$511.54	$764.91	$1,549.80
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 $468.66 / $740.13 / $1,447.81	Professional		$468.66	$740.13	$1,447.81
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 $520.40 / $796.89 / $1,528.22	Professional		$520.40	$796.89	$1,528.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $445.64 / $797.52 / $1,242.97	Professional		$445.64	$797.52	$1,242.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.59 / $809.50 / $1,416.63	Professional		$534.59	$809.50	$1,416.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,785.76 / $3,903.00 / $16,394.00	Facility		$3,785.76	$3,903.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,021.44 / $5,352.80 / $6,144.00	Professional		$4,021.44	$5,352.80	$6,144.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.26 / $803.45 / $1,204.96	Facility		$556.26	$803.45	$1,204.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.70 / $849.34 / $1,668.26	Professional		$535.70	$849.34	$1,668.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,827.12 / $1,827.12 / $2,502.73	Professional		$1,827.12	$1,827.12	$2,502.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $561.99 / $738.64 / $1,011.58	Professional		$561.99	$738.64	$1,011.58
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 $583.36 / $747.60 / $1,753.68	Professional		$583.36	$747.60	$1,753.68