Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $6,025.60	Facility		$630.96	$630.96	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $5,370.32	Professional		$478.63	$660.69	$5,370.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $2,754.23	Facility		$478.63	$602.56	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $660.69 / $1,513.56	Professional		$645.65	$660.69	$1,513.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,398.83 / $3,235.94	Facility		$100.00	$2,398.83	$3,235.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $4,466.84	Professional		$1,348.96	$2,630.27	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $776.25 / $776.25	Facility		$645.65	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $776.25	Professional		$562.34	$562.34	$776.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,698.24	Professional		$549.54	$691.83	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,238.72	Professional		$851.14	$1,288.25	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,762.47 / $7,762.47	Professional		$6,606.93	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $1,698.24	Facility		$354.81	$1,202.26	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,148.15	Professional		$562.34	$562.34	$1,148.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,288.25	Professional		$549.54	$831.76	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $512.86 / $1,412.54	Facility		$85.11	$512.86	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,412.54	Professional		$478.63	$616.60	$1,412.54