Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $249.82 / $1,527.07	Professional		$71.55	$249.82	$1,527.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,115.00 / $4,576.00 / $9,589.00	Facility		$2,115.00	$4,576.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $302.36 / $694.76	Professional		$85.26	$302.36	$694.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.34 / $228.26 / $544.21	Professional		$86.34	$228.26	$544.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $288.35 / $776.35	Professional		$86.60	$288.35	$776.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $256.89 / $358.62	Professional		$74.40	$256.89	$358.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $199.10 / $442.61	Professional		$70.43	$199.10	$442.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $280.77 / $339.63 / $339.63	Facility		$280.77	$339.63	$339.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $827.40 / $1,714.23 / $1,975.95	Professional		$827.40	$1,714.23	$1,975.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $203.99 / $389.31	Facility		$78.41	$203.99	$389.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.51 / $290.77 / $716.28	Professional		$90.51	$290.77	$716.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $269.50 / $947.51	Professional		$269.50	$269.50	$947.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $256.89 / $385.33	Professional		$69.97	$256.89	$385.33
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.82 / $320.73 / $972.39	Professional		$229.82	$320.73	$972.39