Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $506.77 / $4,977.60	Facility		$75.31	$506.77	$4,977.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $101.00 / $428.00	Professional		$74.73	$101.00	$428.00
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 $88.45 / $134.97 / $256.27	Professional		$88.45	$134.97	$256.27
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 $71.77 / $98.08 / $238.88	Professional		$71.77	$98.08	$238.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.37 / $135.37 / $195.23	Professional		$135.37	$135.37	$195.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $92.78 / $130.29	Professional		$68.88	$92.78	$130.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $106.31 / $193.22	Professional		$81.78	$106.31	$193.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $189.73 / $4,989.20	Facility		$55.00	$189.73	$4,989.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $108.96 / $161.41	Facility		$84.01	$108.96	$161.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $167.06 / $222.83	Professional		$81.78	$167.06	$222.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $279.58 / $279.58 / $279.58	Professional		$279.58	$279.58	$279.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $103.09 / $130.29	Professional		$68.88	$103.09	$130.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $93.21 / $289.29	Professional		$66.40	$93.21	$289.29