Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.08 / $7,146.30 / $18,681.00	Facility		$190.08	$7,146.30	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $190.08 / $529.11	Professional		$127.01	$190.08	$529.11
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 $141.63 / $194.00 / $403.92	Professional		$141.63	$194.00	$403.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,177.85	Facility		$66.00	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $219.67 / $419.28	Professional		$139.21	$219.67	$419.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.94 / $291.45 / $1,487.00	Facility		$290.94	$291.45	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $234.15 / $458.62	Professional		$147.19	$234.15	$458.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $188.89 / $334.40	Professional		$110.57	$188.89	$334.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $242.74 / $429.21	Professional		$148.44	$242.74	$429.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $669.20 / $737.53	Facility		$55.00	$669.20	$737.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,046.64 / $1,672.81 / $1,895.78	Professional		$1,046.64	$1,672.81	$1,895.78
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 $133.13 / $219.42 / $351.85	Facility		$133.13	$219.42	$351.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $252.79 / $525.88	Professional		$148.90	$252.79	$525.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $460.57 / $460.57 / $719.03	Professional		$460.57	$460.57	$719.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $190.65 / $309.63	Professional		$139.44	$190.65	$309.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,699.00 / $7,655.00	Facility		$1,198.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.75 / $217.00 / $496.02	Professional		$161.75	$217.00	$496.02