Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.42 / $4,950.00 / $16,125.00	Facility		$214.42	$4,950.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $135.06 / $665.00	Professional		$63.84	$135.06	$665.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $111.49 / $234.97	Professional		$73.93	$111.49	$234.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $122.63 / $261.23	Professional		$75.18	$122.63	$261.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.27 / $149.22 / $351.56	Facility		$126.27	$149.22	$351.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $146.35 / $385.83	Professional		$72.50	$146.35	$385.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $81.31 / $194.46	Professional		$36.11	$81.31	$194.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $143.83 / $265.00	Professional		$72.56	$143.83	$265.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $394.75 / $402.30	Facility		$55.00	$394.75	$402.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $996.80 / $1,169.18	Professional		$610.00	$996.80	$1,169.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $114.39 / $222.34	Facility		$67.83	$114.39	$222.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $153.36 / $378.57	Professional		$73.58	$153.36	$378.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $218.22 / $218.22 / $473.08	Professional		$218.22	$218.22	$473.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $63.76 / $196.50	Professional		$36.11	$63.76	$196.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $157.16 / $460.77	Professional		$108.81	$157.16	$460.77