Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,848.00 / $16,125.00	Facility		$365.00	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $104.92 / $528.34	Professional		$81.48	$104.92	$528.34
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $255.87 / $255.87 / $255.87	Professional	52	$255.87	$255.87	$255.87
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 $80.70 / $125.21 / $320.42	Professional		$80.70	$125.21	$320.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $112.90 / $259.83	Professional		$86.00	$112.90	$259.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $163.88 / $293.52	Facility		$56.00	$163.88	$293.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $140.86 / $304.26	Professional		$103.94	$140.86	$304.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $134.12 / $192.34	Professional		$86.00	$134.12	$192.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $160.28 / $273.24	Professional		$116.10	$160.28	$273.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $519.25 / $574.99	Facility		$55.00	$519.25	$574.99
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $415.40 / $459.99 / $459.99	Facility	52	$415.40	$459.99	$459.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $795.04 / $931.04 / $1,152.59	Professional		$795.04	$931.04	$1,152.59
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 $117.77 / $159.54 / $217.98	Facility		$117.77	$159.54	$217.98
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $150.46 / $310.68	Professional		$106.21	$150.46	$310.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.44 / $338.44 / $392.54	Professional		$338.44	$338.44	$392.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.32 / $129.00 / $177.87	Professional		$96.32	$129.00	$177.87
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $124.01 / $271.75	Professional		$93.69	$124.01	$271.75