Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,713.00	Facility		$344.00	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $136.79 / $562.59	Professional		$99.73	$136.79	$562.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $172.73 / $351.33	Professional		$120.26	$172.73	$351.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,588.01	Facility		$66.00	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $144.97 / $330.85	Professional		$101.49	$144.97	$330.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $74.86 / $176.36	Facility		$63.34	$74.86	$176.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.73 / $146.83 / $335.31	Professional		$103.73	$146.83	$335.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $125.86 / $178.71	Professional		$104.88	$125.86	$178.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $138.29 / $241.22	Professional		$96.02	$138.29	$241.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $438.98 / $468.45	Facility		$55.00	$438.98	$468.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $884.00 / $905.84 / $1,037.25	Professional		$884.00	$905.84	$1,037.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.46 / $147.90 / $217.53	Facility		$111.46	$147.90	$217.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $156.16 / $326.87	Professional		$105.71	$156.16	$326.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $404.15	Professional		$320.00	$320.00	$404.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $150.24 / $214.44	Professional		$115.85	$150.24	$214.44
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $6,323.00	Facility		$510.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $152.25 / $393.54	Professional		$97.44	$152.25	$393.54