Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.44 / $5,165.00 / $17,380.00	Facility		$344.44	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.59 / $291.42 / $1,172.04	Professional		$201.59	$291.42	$1,172.04
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 $223.87 / $336.28 / $754.63	Professional		$223.87	$336.28	$754.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,854.54	Facility		$67.90	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.02 / $305.18 / $676.79	Professional		$208.02	$305.18	$676.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.18 / $633.00 / $2,151.00	Facility		$283.18	$633.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.32 / $356.84 / $810.02	Professional		$228.32	$356.84	$810.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $197.69 / $299.16 / $524.33	Professional		$197.69	$299.16	$524.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.56 / $364.73 / $656.93	Professional		$227.56	$364.73	$656.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,533.66 / $1,557.66	Facility		$55.00	$1,533.66	$1,557.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.00 / $2,538.71 / $3,004.58	Professional		$1,739.00	$2,538.71	$3,004.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $297.13	Professional		$32.34	$32.34	$297.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.40 / $371.87 / $578.20	Facility		$232.40	$371.87	$578.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.51 / $404.18 / $849.60	Professional		$240.51	$404.18	$849.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $727.23 / $727.23 / $1,150.39	Professional		$727.23	$727.23	$1,150.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.94 / $287.30 / $485.41	Professional		$208.94	$287.30	$485.41
United Facility/Professional Facility Modifier Low / Median / High Price $719.24 / $3,928.00 / $9,131.00	Facility		$719.24	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.70 / $358.20 / $893.46	Professional		$258.70	$358.20	$893.46