Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.67 / $5,227.00 / $16,210.00	Facility		$265.67	$5,227.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $244.13 / $1,114.00	Professional		$164.02	$244.13	$1,114.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $4,734.00 / $9,589.00	Facility		$1,894.00	$4,734.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.58 / $232.70 / $527.23	Professional		$157.58	$232.70	$527.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $243.21 / $500.62	Professional		$169.60	$243.21	$500.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.97 / $280.39 / $547.62	Professional		$185.97	$280.39	$547.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $245.09 / $387.94	Professional		$93.91	$245.09	$387.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.68 / $287.20 / $502.62	Professional		$186.68	$287.20	$502.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $861.12 / $4,017.35 / $16,394.00	Facility		$861.12	$4,017.35	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.36 / $1,908.00 / $2,228.03	Professional		$1,335.36	$1,908.00	$2,228.03
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 $174.49 / $252.88 / $391.03	Facility		$174.49	$252.88	$391.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.77 / $290.80 / $557.03	Professional		$187.77	$290.80	$557.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $604.22 / $604.22 / $896.35	Professional		$604.22	$604.22	$896.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $193.61 / $359.17	Professional		$122.08	$193.61	$359.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,055.00 / $4,038.00 / $9,072.00	Facility		$2,055.00	$4,038.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.28 / $271.60 / $682.07	Professional		$204.28	$271.60	$682.07