Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.96 / $3,450.00 / $15,277.00	Facility		$181.96	$3,450.00	$15,277.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $134.74 / $499.15	Professional		$76.04	$134.74	$499.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $177.30 / $333.04	Professional		$120.17	$177.30	$333.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $196.16 / $369.47	Professional		$128.50	$196.16	$369.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $156.09 / $293.33	Professional		$80.87	$156.09	$293.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $102.11 / $203.12	Professional		$75.64	$102.11	$203.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $144.65 / $262.29	Professional		$71.81	$144.65	$262.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $499.32 / $517.44	Facility		$55.00	$499.32	$517.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $671.00 / $1,175.18 / $1,213.96	Professional		$671.00	$1,175.18	$1,213.96
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 $79.26 / $144.09 / $243.07	Facility		$79.26	$144.09	$243.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $162.44 / $293.33	Professional		$85.04	$162.44	$293.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $239.93 / $239.93 / $456.32	Professional		$239.93	$239.93	$456.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $129.78 / $187.97	Professional		$71.18	$129.78	$187.97
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $152.00 / $340.52	Professional		$108.27	$152.00	$340.52