Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $4,848.00 / $16,125.00	Facility		$144.69	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $122.12 / $336.61	Professional		$78.79	$122.12	$336.61
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 $84.06 / $133.43 / $294.87	Professional		$84.06	$133.43	$294.87
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 $76.62 / $111.74 / $233.58	Professional		$76.62	$111.74	$233.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $141.03 / $290.45	Professional		$88.49	$141.03	$290.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $120.15 / $212.95	Professional		$43.93	$120.15	$212.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $153.81 / $272.37	Professional		$89.73	$153.81	$272.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $605.46 / $613.67	Facility		$55.00	$605.46	$613.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $642.16 / $1,021.52 / $1,184.93	Professional		$642.16	$1,021.52	$1,184.93
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 $85.93 / $128.82 / $210.72	Facility		$85.93	$128.82	$210.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $149.11 / $295.94	Professional		$89.53	$149.11	$295.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $285.89 / $285.89 / $461.41	Professional		$285.89	$285.89	$461.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $83.10 / $161.38	Professional		$49.20	$83.10	$161.38
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 $106.10 / $141.84 / $317.39	Professional		$106.10	$141.84	$317.39