Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.56 / $7,000.00 / $18,252.00	Facility		$749.56	$7,000.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.30 / $820.30 / $1,766.37	Professional		$662.30	$820.30	$1,766.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $799.51 / $799.51 / $799.51	Professional		$799.51	$799.51	$799.51
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 $794.34 / $1,071.00 / $2,140.01	Professional		$794.34	$1,071.00	$2,140.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,539.66	Facility		$66.00	$100.00	$8,539.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $558.29 / $797.56 / $1,846.24	Professional		$558.29	$797.56	$1,846.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.25 / $936.03 / $1,050.00	Facility		$702.25	$936.03	$1,050.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.28 / $1,017.22 / $2,176.76	Professional		$729.28	$1,017.22	$2,176.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $930.75 / $1,073.13 / $1,408.50	Professional		$930.75	$1,073.13	$1,408.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.26 / $1,068.66 / $1,931.63	Professional		$780.26	$1,068.66	$1,931.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $6,441.12 / $6,650.56	Facility		$5,897.00	$6,441.12	$6,650.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,864.00 / $6,722.39 / $7,289.10	Professional		$5,864.00	$6,722.39	$7,289.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $894.39 / $1,144.76 / $1,624.37	Facility		$894.39	$1,144.76	$1,624.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.37 / $1,103.55 / $2,332.51	Professional		$734.37	$1,103.55	$2,332.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,669.54 / $2,669.54 / $2,924.40	Professional		$2,669.54	$2,669.54	$2,924.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $867.50 / $1,173.75 / $1,760.63	Professional		$867.50	$1,173.75	$1,760.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.81 / $878.85 / $1,997.63	Professional		$666.81	$878.85	$1,997.63