Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $2,187.76	Professional		$676.08	$891.25	$2,187.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	52	$691.83	$691.83	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $891.25	Professional		$645.65	$758.58	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,548.82 / $7,943.28	Professional		$812.83	$1,548.82	$7,943.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $2,137.96	Professional		$707.95	$977.24	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,818.38	Professional		$776.25	$1,122.02	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,445.44	Professional		$676.08	$1,071.52	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,584.89	Professional		$741.31	$954.99	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,456.54 / $6,456.54	Professional		$5,754.40	$6,456.54	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,344.23	Professional		$758.58	$1,148.15	$2,344.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,202.26	Professional		$676.08	$954.99	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $660.69 / $1,659.59	Professional		$309.03	$660.69	$1,659.59