Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $4,081.70 / $15,747.00	Facility		$52.43	$4,081.70	$15,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $49.10 / $246.00	Professional		$32.96	$49.10	$246.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $52.27 / $123.80	Professional		$33.29	$52.27	$123.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $325.56 / $809.87	Facility		$96.60	$325.56	$809.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $59.25 / $124.83	Professional		$40.96	$59.25	$124.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $72.48 / $147.18	Professional		$47.97	$72.48	$147.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $66.31 / $100.03	Professional		$31.27	$66.31	$100.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $76.20 / $133.35	Professional		$51.89	$76.20	$133.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $245.23 / $259.20	Facility		$55.00	$245.23	$259.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $454.43 / $612.83	Professional		$386.96	$454.43	$612.83
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 $47.94 / $69.79 / $104.20	Facility		$47.94	$69.79	$104.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $75.88 / $147.18	Professional		$48.27	$75.88	$147.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $179.02 / $179.02 / $239.13	Professional		$179.02	$179.02	$239.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $57.73 / $92.53	Professional		$40.65	$57.73	$92.53
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 $54.07 / $72.08 / $179.49	Professional		$54.07	$72.08	$179.49