Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.92 / $4,075.00 / $15,572.00	Facility		$231.92	$4,075.00	$15,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $220.52 / $871.05	Professional		$149.21	$220.52	$871.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $187.19 / $4,604.00	Facility		$150.16	$187.19	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.56 / $218.31 / $448.65	Professional		$154.56	$218.31	$448.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,142.12	Facility		$65.90	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.51 / $216.44 / $470.53	Professional		$151.51	$216.44	$470.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $217.25 / $399.78	Professional		$129.63	$217.25	$399.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $180.30 / $217.58	Professional		$111.13	$180.30	$217.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $149.21 / $279.02	Professional		$100.02	$149.21	$279.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $469.26 / $497.75	Facility		$55.00	$469.26	$497.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $739.76 / $1,195.80 / $1,346.74	Professional		$739.76	$1,195.80	$1,346.74
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 $118.63 / $171.80 / $281.01	Facility		$118.63	$171.80	$281.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $220.43 / $372.89	Professional		$129.63	$220.43	$372.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $335.04 / $335.04 / $472.09	Professional		$335.04	$335.04	$472.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $181.31 / $271.97	Professional		$100.83	$181.31	$271.97
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 $116.20 / $179.65 / $390.64	Professional		$116.20	$179.65	$390.64