Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.77 / $5,068.00 / $17,328.00	Facility		$122.77	$5,068.00	$17,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $108.77 / $411.29	Professional		$74.68	$108.77	$411.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $117.58 / $251.37	Professional		$75.95	$117.58	$251.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,122.07	Facility		$67.90	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $108.07 / $240.76	Professional		$79.29	$108.07	$240.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $88.41 / $629.00	Facility		$50.00	$88.41	$629.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $132.10 / $306.60	Professional		$86.22	$132.10	$306.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $92.56 / $144.12	Professional		$39.09	$92.56	$144.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $108.77 / $195.12	Professional		$80.56	$108.77	$195.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $543.90 / $603.24	Facility		$55.00	$543.90	$603.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $574.96 / $733.41 / $837.15	Professional		$574.96	$733.41	$837.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $95.34	Professional		$32.34	$32.34	$95.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.26 / $111.07 / $174.15	Facility		$75.26	$111.07	$174.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.67 / $148.86 / $300.93	Professional		$88.67	$148.86	$300.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $280.61 / $280.61 / $400.82	Professional		$280.61	$280.61	$400.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $74.75 / $133.41	Professional		$39.09	$74.75	$133.41
United Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $1,274.00 / $5,691.00	Facility		$141.00	$1,274.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $126.72 / $360.45	Professional		$91.52	$126.72	$360.45