Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $5,165.00 / $16,713.00	Facility		$145.07	$5,165.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $119.09 / $356.80	Professional		$41.76	$119.09	$356.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $60.50 / $130.58	Professional		$44.96	$60.50	$130.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,580.37	Facility		$66.00	$100.00	$1,580.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $106.45 / $217.58	Professional		$47.91	$106.45	$217.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $111.17 / $199.12	Facility		$56.00	$111.17	$199.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $123.30 / $251.29	Professional		$51.22	$123.30	$251.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $59.72 / $136.13	Professional		$39.46	$59.72	$136.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $94.28 / $175.26	Professional		$45.75	$94.28	$175.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $207.37 / $222.59	Facility		$55.00	$207.37	$222.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $350.26 / $377.40 / $888.72	Professional		$350.26	$377.40	$888.72
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 $53.29 / $93.20 / $154.72	Facility		$53.29	$93.20	$154.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $124.63 / $248.40	Professional		$52.76	$124.63	$248.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $151.57 / $330.69	Professional		$151.57	$151.57	$330.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $64.70 / $126.07	Professional		$45.50	$64.70	$126.07
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,323.00	Facility		$545.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $134.05 / $284.39	Professional		$79.73	$134.05	$284.39