Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $287.70 / $860.64	Professional		$128.46	$287.70	$860.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $197.60 / $568.47	Professional		$137.19	$197.60	$568.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $287.13 / $561.27	Professional		$139.78	$287.13	$561.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,681.08	Facility		$938.60	$940.26	$1,681.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $315.81 / $659.56	Professional		$145.44	$315.81	$659.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $201.60 / $526.85	Professional		$134.40	$201.60	$526.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.57 / $317.58 / $588.39	Professional		$147.57	$317.58	$588.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.35 / $831.60 / $12,000.00	Facility		$812.35	$831.60	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.75 / $2,271.35 / $2,567.48	Professional		$1,148.75	$2,271.35	$2,567.48
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 $143.86 / $300.32 / $530.75	Facility		$143.86	$300.32	$530.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.75 / $336.53 / $744.22	Professional		$146.75	$336.53	$744.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $472.57 / $472.57 / $1,029.17	Professional		$472.57	$472.57	$1,029.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $220.34 / $433.87	Professional		$146.63	$220.34	$433.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,699.00 / $7,655.00	Facility		$1,120.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.52 / $319.45 / $714.72	Professional		$236.52	$319.45	$714.72