Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.12 / $6,211.00 / $17,030.00	Facility		$180.12	$6,211.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $168.30 / $542.98	Professional		$123.56	$168.30	$542.98
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 $124.45 / $175.04 / $376.44	Professional		$124.45	$175.04	$376.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,238.60	Facility		$65.80	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $169.14 / $353.22	Professional		$118.40	$169.14	$353.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $196.88 / $384.03	Professional		$140.38	$196.88	$384.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $173.34 / $261.30	Professional		$95.31	$173.34	$261.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.81 / $196.84 / $358.15	Professional		$133.81	$196.84	$358.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $620.66 / $1,300.00 / $26,542.00	Facility		$620.66	$1,300.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.00 / $1,331.60 / $1,559.63	Professional		$1,023.00	$1,331.60	$1,559.63
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 $136.40 / $191.18 / $269.67	Facility		$136.40	$191.18	$269.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $208.20 / $390.61	Professional		$141.51	$208.20	$390.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $452.43 / $452.43 / $624.34	Professional		$452.43	$452.43	$624.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $167.24 / $241.79	Professional		$121.63	$167.24	$241.79
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 $142.00 / $190.75 / $425.89	Professional		$142.00	$190.75	$425.89