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 / $16,573.00	Facility		$344.00	$4,932.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $102.07 / $417.47	Professional		$77.78	$102.07	$417.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.06 / $105.26 / $277.20	Facility		$87.06	$105.26	$277.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $122.86 / $228.73	Professional		$90.77	$122.86	$228.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $97.00 / $232.18	Professional		$72.94	$97.00	$232.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $135.94 / $135.94	Facility		$135.94	$135.94	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $117.62 / $235.87	Professional		$82.18	$117.62	$235.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $109.48 / $173.97	Professional		$61.43	$109.48	$173.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $114.04 / $188.00	Professional		$79.68	$114.04	$188.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $372.20 / $398.43	Facility		$55.00	$372.20	$398.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $903.00 / $903.00 / $903.00	Professional		$903.00	$903.00	$903.00
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 $82.57 / $116.68 / $175.70	Facility		$82.57	$116.68	$175.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $137.04 / $262.04	Professional		$85.23	$137.04	$262.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $259.02 / $259.02 / $329.96	Professional		$259.02	$259.02	$329.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $101.30 / $143.16	Professional		$73.67	$101.30	$143.16
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $113.96 / $279.68	Professional		$81.12	$113.96	$279.68