Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.61 / $9,674.00 / $22,788.00	Facility		$138.61	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.24 / $123.98 / $589.38	Professional		$110.24	$123.98	$589.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $9,624.00 / $20,634.00	Facility		$1,900.00	$9,624.00	$20,634.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.36 / $189.91 / $360.52	Professional		$140.36	$189.91	$360.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.84 / $158.97 / $348.62	Professional		$107.84	$158.97	$348.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $750.00 / $5,431.00	Facility		$129.34	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $164.69 / $353.82	Professional		$118.29	$164.69	$353.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $114.01 / $153.91	Professional		$112.06	$114.01	$153.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $131.11 / $243.08	Professional		$99.44	$131.11	$243.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $426.76 / $524.83	Facility		$55.00	$426.76	$524.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $787.60 / $808.00 / $963.30	Professional		$787.60	$808.00	$963.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.40 / $133.38 / $201.16	Facility		$109.40	$133.38	$201.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $175.38 / $308.55	Professional		$124.44	$175.38	$308.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $365.71 / $365.71 / $365.71	Professional		$365.71	$365.71	$365.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $126.23 / $168.09	Professional		$103.28	$126.23	$168.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.07 / $143.76 / $289.72	Professional		$94.07	$143.76	$289.72