Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.62 / $4,848.00 / $16,573.00	Facility		$407.62	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.79 / $346.01 / $1,536.28	Professional		$218.79	$346.01	$1,536.28
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 $265.69 / $354.15 / $713.02	Professional		$265.69	$354.15	$713.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $198.19 / $297.50 / $612.37	Professional		$198.19	$297.50	$612.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $537.41 / $962.52	Facility		$56.00	$537.41	$962.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.73 / $411.92 / $784.99	Professional		$257.73	$411.92	$784.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $276.25 / $354.06 / $617.89	Professional		$276.25	$354.06	$617.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $443.78 / $789.36	Professional		$257.45	$443.78	$789.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,693.86 / $1,709.40	Facility		$55.00	$1,693.86	$1,709.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,796.56 / $2,837.60 / $3,429.08	Professional		$1,796.56	$2,837.60	$3,429.08
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 $299.32 / $429.45 / $650.42	Facility		$299.32	$429.45	$650.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.55 / $441.86 / $891.23	Professional		$258.55	$441.86	$891.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $828.15 / $828.15 / $1,276.55	Professional		$828.15	$828.15	$1,276.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $260.32 / $386.75 / $572.37	Professional		$260.32	$386.75	$572.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,055.00 / $4,213.00 / $9,131.00	Facility		$2,055.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.48 / $393.12 / $862.57	Professional		$295.48	$393.12	$862.57