Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.17 / $5,505.00 / $17,054.00	Facility		$755.17	$5,505.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $583.03 / $994.83	Professional		$143.34	$583.03	$994.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,663.00 / $7,070.00 / $14,103.00	Facility		$2,663.00	$7,070.00	$14,103.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.48 / $532.96 / $1,411.83	Professional		$205.48	$532.96	$1,411.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $149.87 / $433.69 / $1,097.22	Professional		$149.87	$433.69	$1,097.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $235.63 / $235.63	Facility		$235.63	$235.63	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $403.86 / $1,251.38	Professional		$155.21	$403.86	$1,251.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $187.22 / $977.27	Professional		$138.68	$187.22	$977.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $409.19 / $959.14	Professional		$129.36	$409.19	$959.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,053.11 / $1,053.11	Facility		$55.00	$1,053.11	$1,053.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,138.42 / $4,175.33 / $4,773.38	Professional		$2,138.42	$4,175.33	$4,773.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $479.73	Professional		$32.34	$32.34	$479.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.41 / $322.08 / $1,023.09	Facility		$152.41	$322.08	$1,023.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $418.19 / $1,477.96	Professional		$159.72	$418.19	$1,477.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $440.85 / $440.85 / $1,978.40	Professional		$440.85	$440.85	$1,978.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.65 / $244.14 / $804.57	Professional		$125.65	$244.14	$804.57
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,506.00 / $5,691.00	Facility		$548.00	$1,506.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.65 / $741.40 / $1,661.04	Professional		$488.65	$741.40	$1,661.04