Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.92 / $4,754.00 / $16,125.00	Facility		$343.92	$4,754.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $93.85 / $383.00	Professional		$58.26	$93.85	$383.00
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 $77.26 / $111.16 / $237.05	Professional		$77.26	$111.16	$237.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,273.44	Facility		$66.00	$100.00	$5,273.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $92.58 / $205.88	Professional		$64.81	$92.58	$205.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.38 / $77.26 / $182.02	Facility		$65.38	$77.26	$182.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $96.02 / $237.66	Professional		$62.74	$96.02	$237.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $72.56 / $126.06	Professional		$58.78	$72.56	$126.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $99.70 / $173.58	Professional		$58.66	$99.70	$173.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $274.83 / $285.86	Facility		$55.00	$274.83	$285.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $425.28 / $699.92 / $805.13	Professional		$425.28	$699.92	$805.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $99.59 / $150.44	Facility		$68.20	$99.59	$150.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $103.27 / $234.40	Professional		$64.36	$103.27	$234.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $194.86 / $194.86 / $297.04	Professional		$194.86	$194.86	$297.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $76.41 / $127.29	Professional		$58.75	$76.41	$127.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,731.00 / $7,940.00	Facility		$1,371.00	$2,731.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $98.46 / $270.60	Professional		$67.59	$98.46	$270.60