Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.04 / $4,848.00 / $16,573.00	Facility		$215.04	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $89.89 / $265.10	Professional		$36.32	$89.89	$265.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,505.00 / $8,976.00	Facility		$1,882.00	$4,505.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $51.05 / $116.28	Professional		$34.75	$51.05	$116.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,668.58	Facility		$66.00	$100.00	$1,668.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $62.77 / $124.65	Professional		$40.64	$62.77	$124.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.98 / $115.19 / $1,487.00	Facility		$114.98	$115.19	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $76.98 / $167.71	Professional		$41.62	$76.98	$167.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $61.21 / $131.33	Professional		$44.72	$61.21	$131.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $90.41 / $166.29	Professional		$40.56	$90.41	$166.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $184.67 / $198.17	Facility		$55.00	$184.67	$198.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $335.85 / $628.08 / $741.08	Professional		$335.85	$628.08	$741.08
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 $47.14 / $84.86 / $142.27	Facility		$47.14	$84.86	$142.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $82.74 / $193.00	Professional		$42.72	$82.74	$193.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $133.43 / $266.87	Professional		$133.43	$133.43	$266.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $83.62 / $121.61	Professional		$40.59	$83.62	$121.61
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 $59.40 / $78.86 / $185.14	Professional		$59.40	$78.86	$185.14