Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.83 / $5,829.00 / $17,809.00	Facility		$291.83	$5,829.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.04 / $245.38 / $959.30	Professional		$158.04	$245.38	$959.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,357.00 / $10,576.00	Facility		$1,196.00	$5,357.00	$10,576.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.53 / $259.51 / $580.19	Professional		$173.53	$259.51	$580.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,564.23	Facility		$67.90	$100.00	$6,564.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $235.31 / $513.82	Professional		$164.72	$235.31	$513.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $436.61 / $900.00	Facility		$156.81	$436.61	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.10 / $306.58 / $684.51	Professional		$183.10	$306.58	$684.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $215.07 / $463.52	Professional		$76.69	$215.07	$463.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $319.62 / $579.41	Professional		$187.75	$319.62	$579.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,259.52 / $1,289.64 / $16,394.00	Facility		$1,259.52	$1,289.64	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.20 / $2,209.12 / $2,633.25	Professional		$1,319.20	$2,209.12	$2,633.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $262.43	Professional		$32.34	$32.34	$262.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.30 / $268.83 / $476.99	Facility		$161.30	$268.83	$476.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.69 / $350.26 / $785.05	Professional		$187.69	$350.26	$785.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $595.23 / $595.23 / $1,023.20	Professional		$595.23	$595.23	$1,023.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $190.36 / $429.13	Professional		$96.72	$190.36	$429.13
United Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $1,302.00 / $5,691.00	Facility		$141.00	$1,302.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.31 / $309.05 / $778.64	Professional		$223.31	$309.05	$778.64