Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.73 / $3,747.00 / $13,782.00	Facility		$329.73	$3,747.00	$13,782.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $111.25 / $411.70	Professional		$73.04	$111.25	$411.70
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 $88.78 / $128.56 / $257.39	Professional		$88.78	$128.56	$257.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,619.88	Facility		$66.00	$100.00	$1,619.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $124.71 / $271.45	Professional		$87.30	$124.71	$271.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $75.81 / $178.61	Facility		$64.15	$75.81	$178.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $127.55 / $303.92	Professional		$82.07	$127.55	$303.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $81.99 / $142.19	Professional		$53.24	$81.99	$142.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $116.79 / $201.00	Professional		$74.88	$116.79	$201.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $353.56 / $365.80	Facility		$55.00	$353.56	$365.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $552.64 / $911.48 / $973.08	Professional		$552.64	$911.48	$973.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $122.42 / $181.26	Facility		$87.60	$122.42	$181.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $133.01 / $291.11	Professional		$84.18	$133.01	$291.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $255.43 / $367.23	Professional		$255.43	$255.43	$367.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $79.86 / $143.62	Professional		$53.24	$79.86	$143.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,679.00 / $7,655.00	Facility		$1,031.00	$2,679.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $130.37 / $333.55	Professional		$89.88	$130.37	$333.55