Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.53 / $228.41 / $888.42	Professional		$156.53	$228.41	$888.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $202.82 / $473.67	Professional		$139.25	$202.82	$473.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $167.15 / $270.77 / $511.09	Professional		$167.15	$270.77	$511.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,681.08	Facility		$938.60	$940.26	$1,681.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $257.83 / $509.11	Professional		$174.87	$257.83	$509.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $225.47 / $338.05	Professional		$99.40	$225.47	$338.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $250.41 / $422.83	Professional		$180.55	$250.41	$422.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.40 / $1,248.48 / $12,000.00	Facility		$1,226.40	$1,248.48	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.32 / $1,600.33 / $1,772.70	Professional		$1,302.32	$1,600.33	$1,772.70
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 $164.37 / $254.15 / $377.23	Facility		$164.37	$254.15	$377.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $280.92 / $516.55	Professional		$176.67	$280.92	$516.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $574.62 / $574.62 / $686.42	Professional		$574.62	$574.62	$686.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $188.03 / $278.16	Professional		$139.16	$188.03	$278.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,741.00 / $8,383.00	Facility		$1,410.00	$2,741.00	$8,383.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $246.05 / $466.78	Professional		$160.91	$246.05	$466.78