Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $5,002.00 / $17,030.00	Facility		$365.00	$5,002.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $124.97 / $581.00	Professional		$100.90	$124.97	$581.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.58 / $167.72 / $348.29	Professional		$113.58	$167.72	$348.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $124.17 / $309.92	Professional		$93.09	$124.17	$309.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.21 / $168.07 / $395.95	Facility		$142.21	$168.07	$395.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $158.05 / $396.99	Professional		$105.72	$158.05	$396.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $153.63 / $229.35	Professional		$58.78	$153.63	$229.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.72 / $186.00 / $318.67	Professional		$118.72	$186.00	$318.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $545.96 / $593.61	Facility		$55.00	$545.96	$593.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,581.00 / $1,581.00 / $1,581.00	Professional		$1,581.00	$1,581.00	$1,581.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $168.51 / $261.56	Facility		$116.45	$168.51	$261.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $168.24 / $396.99	Professional		$106.32	$168.24	$396.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $353.27 / $353.27 / $468.68	Professional		$353.27	$353.27	$468.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $155.11 / $231.70	Professional		$58.78	$155.11	$231.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,163.00 / $16,148.00	Facility		$3,842.00	$7,163.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $157.94 / $491.71	Professional		$102.00	$157.94	$491.71