Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.86 / $3,465.75 / $6,092.13	Facility		$1,035.86	$3,465.75	$6,092.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.29 / $1,078.09 / $2,424.51	Professional		$867.29	$1,078.09	$2,424.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $832.85 / $832.85 / $832.85	Professional		$832.85	$832.85	$832.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.35 / $570.00 / $5,140.00	Facility		$153.35	$570.00	$5,140.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.59 / $1,480.61 / $2,926.79	Professional		$920.59	$1,480.61	$2,926.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,440.91 / $3,011.81	Facility		$97.00	$1,440.91	$3,011.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $691.78 / $1,039.41 / $2,468.69	Professional		$691.78	$1,039.41	$2,468.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.58 / $1,287.97 / $3,932.06	Facility		$1,079.58	$1,287.97	$3,932.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.12 / $1,443.24 / $2,827.65	Professional		$1,002.12	$1,443.24	$2,827.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $946.52 / $1,299.10 / $1,753.80	Professional		$946.52	$1,299.10	$1,753.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.94 / $1,205.83 / $2,273.44	Professional		$936.94	$1,205.83	$2,273.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,877.67 / $4,412.77 / $5,259.82	Facility		$1,877.67	$4,412.77	$5,259.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,040.95 / $6,040.95 / $8,223.60	Professional		$6,040.95	$6,040.95	$8,223.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,326.43	Professional		$32.34	$32.34	$1,326.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $945.62 / $1,280.58 / $1,827.09	Facility		$945.62	$1,280.58	$1,827.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,082.08 / $1,587.98 / $2,656.20	Professional		$1,082.08	$1,587.98	$2,656.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,035.68 / $3,035.68 / $3,035.68	Professional		$3,035.68	$3,035.68	$3,035.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.77 / $1,124.77 / $1,124.77	Facility		$1,124.77	$1,124.77	$1,124.77
United Facility/Professional Professional Modifier Low / Median / High Price $736.42 / $1,098.76 / $2,736.69	Professional		$736.42	$1,098.76	$2,736.69