Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.23 / $6,159.00 / $17,030.00	Facility		$186.23	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.51 / $159.32 / $632.71	Professional		$96.51	$159.32	$632.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $164.75 / $393.38	Professional		$98.18	$164.75	$393.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $7,919.07	Facility		$65.80	$100.00	$7,919.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $167.71 / $335.23	Professional		$105.42	$167.71	$335.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $179.89 / $337.20	Professional		$109.33	$179.89	$337.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $178.70 / $281.76	Professional		$117.37	$178.70	$281.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $176.50 / $399.98	Professional		$106.14	$176.50	$399.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $482.93 / $2,000.00 / $26,542.00	Facility		$482.93	$2,000.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,775.00 / $1,925.20 / $1,925.20	Professional		$1,775.00	$1,925.20	$1,925.20
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 $106.35 / $165.11 / $272.30	Facility		$106.35	$165.11	$272.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $191.64 / $337.80	Professional		$110.66	$191.64	$337.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $353.79 / $353.79 / $597.83	Professional		$353.79	$353.79	$597.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.55 / $189.68 / $281.70	Professional		$106.55	$189.68	$281.70
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,691.00	Facility		$587.00	$1,533.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $181.30 / $410.53	Professional		$139.72	$181.30	$410.53