Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.51 / $4,848.00 / $16,125.00	Facility		$370.51	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $294.85 / $878.72	Professional		$148.03	$294.85	$878.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,994.00	Facility		$2,143.00	$5,931.00	$11,994.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.79 / $231.83 / $563.26	Professional		$149.79	$231.83	$563.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $300.83 / $585.80	Professional		$156.47	$300.83	$585.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $266.83 / $266.83	Facility		$266.83	$266.83	$266.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.06 / $349.73 / $681.77	Professional		$174.06	$349.73	$681.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $234.72 / $571.80	Professional		$127.70	$234.72	$571.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $322.86 / $571.80	Professional		$155.97	$322.86	$571.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $891.80 / $891.80 / $1,500.00	Facility		$891.80	$891.80	$1,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,269.99 / $2,443.36 / $2,822.40	Professional		$1,269.99	$2,443.36	$2,822.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $285.31	Professional		$32.34	$32.34	$285.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.07 / $311.27 / $557.28	Facility		$157.07	$311.27	$557.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.26 / $385.67 / $867.18	Professional		$182.26	$385.67	$867.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $545.22 / $545.22 / $1,181.16	Professional		$545.22	$545.22	$1,181.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $209.35 / $470.84	Professional		$140.41	$209.35	$470.84
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,506.00 / $5,691.00	Facility		$545.00	$1,506.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.02 / $405.74 / $943.12	Professional		$291.02	$405.74	$943.12