Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.69 / $5,165.00 / $16,713.00	Facility		$153.69	$5,165.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $115.39 / $312.99	Professional		$57.43	$115.39	$312.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,418.00 / $9,274.00	Facility		$1,546.00	$4,418.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $125.32 / $346.42	Professional		$81.31	$125.32	$346.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,177.85	Facility		$64.40	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $118.06 / $220.32	Professional		$66.39	$118.06	$220.32
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 $64.45 / $125.90 / $226.32	Professional		$64.45	$125.90	$226.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $74.45 / $167.04	Professional		$55.15	$74.45	$167.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $111.54 / $207.17	Professional		$51.30	$111.54	$207.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $234.66 / $248.57	Facility		$55.00	$234.66	$248.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $418.32 / $420.90 / $904.65	Professional		$418.32	$420.90	$904.65
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 $60.01 / $110.47 / $174.72	Facility		$60.01	$110.47	$174.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $130.53 / $243.00	Professional		$66.45	$130.53	$243.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $182.26 / $182.26 / $368.60	Professional		$182.26	$182.26	$368.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $61.23 / $148.53	Professional		$44.53	$61.23	$148.53
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $128.86 / $253.68	Professional		$88.76	$128.86	$253.68