Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $132.03 / $516.00	Professional		$92.68	$132.03	$516.00
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 $102.05 / $153.72 / $348.99	Professional		$102.05	$153.72	$348.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,121.41	Facility		$66.00	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $140.12 / $296.79	Professional		$94.73	$140.12	$296.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.36 / $154.06 / $362.95	Facility		$130.36	$154.06	$362.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $148.96 / $389.13	Professional		$92.44	$148.96	$389.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.69 / $126.95 / $226.94	Professional		$95.69	$126.95	$226.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $171.69 / $309.47	Professional		$86.97	$171.69	$309.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $402.96 / $9,102.00 / $11,500.00	Facility		$402.96	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $635.79 / $719.55 / $1,950.30	Professional		$635.79	$719.55	$1,950.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.21 / $146.30 / $270.95	Facility		$87.21	$146.30	$270.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $157.07 / $406.90	Professional		$93.59	$157.07	$406.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $283.61 / $283.61 / $489.18	Professional		$283.61	$283.61	$489.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $160.10 / $229.27	Professional		$101.56	$160.10	$229.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $168.80 / $446.62	Professional		$118.16	$168.80	$446.62