Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.42 / $5,165.00 / $17,380.00	Facility		$335.42	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.61 / $280.76 / $1,105.99	Professional		$170.61	$280.76	$1,105.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.24 / $297.87 / $652.74	Professional		$185.24	$297.87	$652.74
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 $182.73 / $265.56 / $580.13	Professional		$182.73	$265.56	$580.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.73 / $643.00 / $2,151.00	Facility		$318.73	$643.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.65 / $330.05 / $777.05	Professional		$189.65	$330.05	$777.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $267.86 / $539.52	Professional		$159.72	$267.86	$539.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.63 / $368.37 / $668.05	Professional		$209.63	$368.37	$668.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,403.58 / $1,420.14	Facility		$55.00	$1,403.58	$1,420.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.32 / $2,543.60 / $3,017.85	Professional		$1,472.32	$2,543.60	$3,017.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $295.74	Professional		$32.34	$32.34	$295.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.08 / $302.36 / $552.55	Facility		$175.08	$302.36	$552.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.06 / $375.65 / $856.80	Professional		$195.06	$375.65	$856.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $650.45 / $650.45 / $1,151.75	Professional		$650.45	$650.45	$1,151.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $196.62 / $270.36 / $499.61	Professional		$196.62	$270.36	$499.61
United Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $3,964.00 / $9,131.00	Facility		$740.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.82 / $349.42 / $877.71	Professional		$248.82	$349.42	$877.71