Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.15 / $2,163.00 / $13,782.00	Facility		$85.15	$2,163.00	$13,782.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $72.98 / $216.40	Professional		$22.14	$72.98	$216.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $99.79 / $99.79	Professional		$99.79	$99.79	$99.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $21.07 / $4,604.00	Facility		$16.91	$21.07	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $64.08 / $143.91	Professional		$18.93	$64.08	$143.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $1,514.82	Facility		$66.09	$100.00	$1,514.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $58.14 / $142.71	Professional		$42.19	$58.14	$142.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $54.57 / $153.66	Professional		$21.22	$54.57	$153.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $51.81 / $172.02	Professional		$38.38	$51.81	$172.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $99.00 / $191.87	Professional		$34.83	$99.00	$191.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $241.20 / $241.20 / $247.68	Facility		$241.20	$241.20	$247.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $651.16 / $832.88	Professional		$371.54	$651.16	$832.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.56 / $67.00 / $151.91	Facility		$33.56	$67.00	$151.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $58.89 / $181.27	Professional		$24.03	$58.89	$181.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $119.02 / $322.19	Professional		$119.02	$119.02	$322.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $69.43 / $141.68	Professional		$34.88	$69.43	$141.68
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $98.89 / $207.66	Professional		$60.20	$98.89	$207.66