Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,382.00 / $17,054.00	Facility		$1,017.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $133.41 / $370.00	Professional		$68.72	$133.41	$370.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $8,239.00 / $18,725.00	Facility		$3,518.00	$8,239.00	$18,725.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $129.66 / $236.61	Professional		$93.88	$129.66	$236.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,403.01	Facility		$64.20	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $92.41 / $224.88	Professional		$66.38	$92.41	$224.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $97.58 / $282.50	Professional		$75.70	$97.58	$282.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $80.19 / $96.23	Professional		$49.61	$80.19	$96.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $94.83 / $168.33	Professional		$72.64	$94.83	$168.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $188.40 / $4,217.50	Facility		$55.00	$188.40	$4,217.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.44 / $1,995.00 / $1,995.00	Professional		$1,403.44	$1,995.00	$1,995.00
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 $73.98 / $98.62 / $158.63	Facility		$73.98	$98.62	$158.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $99.44 / $214.76	Professional		$75.70	$99.44	$214.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $248.67 / $248.67 / $248.67	Professional		$248.67	$248.67	$248.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $73.98 / $88.94	Professional		$49.61	$73.98	$88.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $85.12 / $250.27	Professional		$61.32	$85.12	$250.27