Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $7,108.00 / $18,681.00	Facility		$257.83	$7,108.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $240.10 / $994.61	Professional		$143.26	$240.10	$994.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $233.12 / $493.79	Professional		$160.41	$233.12	$493.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $168.56 / $262.39 / $507.81	Professional		$168.56	$262.39	$507.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $166.36 / $297.95	Facility		$56.00	$166.36	$297.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.08 / $288.76 / $560.53	Professional		$174.08	$288.76	$560.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $304.91 / $461.42	Professional		$199.36	$304.91	$461.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.20 / $325.37 / $582.35	Professional		$177.20	$325.37	$582.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $784.32 / $859.37	Facility		$55.00	$784.32	$859.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.35 / $2,180.88 / $2,594.25	Professional		$1,219.35	$2,180.88	$2,594.25
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 $172.09 / $267.82 / $469.62	Facility		$172.09	$267.82	$469.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.81 / $306.81 / $609.86	Professional		$176.81	$306.81	$609.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $540.10 / $540.10 / $928.40	Professional		$540.10	$540.10	$928.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.05 / $349.41 / $548.84	Professional		$181.05	$349.41	$548.84
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.27 / $280.35 / $711.06	Professional		$216.27	$280.35	$711.06