Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.38 / $2,051.00 / $13,290.00	Facility		$221.38	$2,051.00	$13,290.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $76.89 / $291.26	Professional		$51.35	$76.89	$291.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $72.36 / $164.28	Professional		$47.56	$72.36	$164.28
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 $54.64 / $81.38 / $165.13	Professional		$54.64	$81.38	$165.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $86.92 / $171.08	Professional		$56.71	$86.92	$171.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $75.75 / $128.06	Professional		$31.65	$75.75	$128.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $93.05 / $164.55	Professional		$57.09	$93.05	$164.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $261.80 / $283.39	Facility		$55.00	$261.80	$283.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $402.88 / $615.20 / $727.88	Professional		$402.88	$615.20	$727.88
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 $52.27 / $79.18 / $128.06	Facility		$52.27	$79.18	$128.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $90.80 / $171.57	Professional		$57.12	$90.80	$171.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $177.86 / $272.83	Professional		$177.86	$177.86	$272.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $55.87 / $97.01	Professional		$35.44	$55.87	$97.01
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 $63.45 / $84.60 / $207.24	Professional		$63.45	$84.60	$207.24