Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $21,960.90	Facility		$873.00	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $188.36 / $1,028.67	Professional		$167.33	$188.36	$1,028.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,193.00 / $10,144.00	Facility		$2,160.00	$5,193.00	$10,144.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $340.26 / $612.34	Professional		$259.58	$340.26	$612.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $237.93 / $520.97	Professional		$165.47	$237.93	$520.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $247.10 / $537.87	Professional		$192.13	$247.10	$537.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.09 / $224.35 / $292.64	Professional		$195.09	$224.35	$292.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.05 / $251.67 / $454.42	Professional		$183.05	$251.67	$454.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $479.94 / $1,300.00 / $5,000.00	Facility		$479.94	$1,300.00	$5,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,059.50 / $3,059.50 / $3,059.50	Professional		$3,059.50	$3,059.50	$3,059.50
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 $208.45 / $251.46 / $397.44	Facility		$208.45	$251.46	$397.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.80 / $257.39 / $537.87	Professional		$194.80	$257.39	$537.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $638.28 / $638.28 / $638.28	Professional		$638.28	$638.28	$638.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $188.51 / $230.40 / $369.03	Professional		$188.51	$230.40	$369.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $210.35 / $439.90	Professional		$162.27	$210.35	$439.90