Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.99 / $4,848.00 / $16,125.00	Facility		$208.99	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $177.84 / $354.58	Professional		$116.51	$177.84	$354.58
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 $128.33 / $197.22 / $435.51	Professional		$128.33	$197.22	$435.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $164.14 / $353.78	Professional		$112.38	$164.14	$353.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $208.28 / $420.49	Professional		$133.30	$208.28	$420.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $176.92 / $309.64	Professional		$75.20	$176.92	$309.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $224.68 / $397.97	Professional		$133.55	$224.68	$397.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $612.76 / $663.72	Facility		$55.00	$612.76	$663.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $961.20 / $1,502.80 / $1,738.50	Professional		$961.20	$1,502.80	$1,738.50
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 $125.60 / $190.00 / $309.64	Facility		$125.60	$190.00	$309.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $218.07 / $433.45	Professional		$133.55	$218.07	$433.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $435.07 / $681.51	Professional		$435.07	$435.07	$681.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $132.77 / $234.65	Professional		$84.23	$132.77	$234.65
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $5,830.00	Facility		$548.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.05 / $207.39 / $516.90	Professional		$156.05	$207.39	$516.90