Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $103.98 / $460.45	Professional		$82.15	$103.98	$460.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $145.43 / $269.48	Professional		$106.04	$145.43	$269.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,701.50	Facility		$66.00	$100.00	$1,701.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $128.96 / $268.14	Professional		$96.72	$128.96	$268.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $149.27 / $267.35	Facility		$56.00	$149.27	$267.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $134.81 / $296.91	Professional		$94.80	$134.81	$296.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $127.33 / $186.25	Professional		$106.11	$127.33	$186.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $140.80 / $240.57	Professional		$92.56	$140.80	$240.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $421.12 / $460.37	Facility		$55.00	$421.12	$460.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.44 / $1,059.75 / $1,490.91	Professional		$661.44	$1,059.75	$1,490.91
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 $94.32 / $153.56 / $260.95	Facility		$94.32	$153.56	$260.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $145.90 / $304.54	Professional		$97.23	$145.90	$304.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $285.69 / $285.69 / $377.05	Professional		$285.69	$285.69	$377.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $134.31 / $190.99	Professional		$94.74	$134.31	$190.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,038.00 / $9,072.00	Facility		$1,943.00	$4,038.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $118.56 / $258.01	Professional		$88.24	$118.56	$258.01