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 $111.65 / $150.62 / $346.15	Professional		$111.65	$150.62	$346.15
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 $141.00 / $203.99 / $416.30	Professional		$141.00	$203.99	$416.30
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 $114.32 / $163.32 / $377.82	Professional		$114.32	$163.32	$377.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.87 / $127.49 / $300.35	Facility		$107.87	$127.49	$300.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $174.24 / $412.29	Professional		$119.75	$174.24	$412.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $162.65 / $238.03	Professional		$123.54	$162.65	$238.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $177.34 / $308.75	Professional		$113.05	$177.34	$308.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $527.67 / $550.57	Facility		$55.00	$527.67	$550.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $815.36 / $1,204.32 / $1,417.05	Professional		$815.36	$1,204.32	$1,417.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $176.40 / $260.31	Facility		$130.91	$176.40	$260.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $183.68 / $405.70	Professional		$122.32	$183.68	$405.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $368.65 / $368.65 / $521.32	Professional		$368.65	$368.65	$521.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $169.16 / $234.22	Professional		$130.12	$169.16	$234.22
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $190.91 / $544.00	Professional		$123.39	$190.91	$544.00