Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,815.00 / $18,252.00	Facility		$934.95	$5,815.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $111.34 / $566.58	Professional		$97.75	$111.34	$566.58
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 $107.24 / $155.72 / $303.55	Professional		$107.24	$155.72	$303.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,886.39	Facility		$67.90	$100.00	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $124.68 / $286.89	Professional		$92.69	$124.68	$286.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $751.55 / $1,770.60	Facility		$339.00	$751.55	$1,770.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $143.91 / $307.89	Professional		$110.06	$143.91	$307.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $126.90 / $211.28	Professional		$111.69	$126.90	$211.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $127.39 / $236.81	Professional		$97.60	$127.39	$236.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $268.86 / $2,855.25 / $12,000.00	Facility		$268.86	$2,855.25	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $866.33 / $1,175.00 / $1,175.00	Professional		$866.33	$1,175.00	$1,175.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.68	Professional		$32.34	$32.34	$152.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.71 / $140.91 / $238.03	Facility		$105.71	$140.91	$238.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.81 / $153.86 / $290.83	Professional		$110.81	$153.86	$290.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $351.56 / $351.56 / $351.56	Professional		$351.56	$351.56	$351.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $128.06 / $201.04	Professional		$104.78	$128.06	$201.04
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,772.00 / $9,072.00	Facility		$705.00	$3,772.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $120.59 / $263.89	Professional		$87.08	$120.59	$263.89