Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.96 / $7,146.30 / $19,011.00	Facility		$201.96	$7,146.30	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $199.94 / $545.79	Professional		$91.00	$199.94	$545.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $101.15 / $266.39	Facility		$83.66	$101.15	$266.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $190.84 / $381.87	Professional		$96.82	$190.84	$381.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $286.80 / $1,299.60	Facility		$59.40	$286.80	$1,299.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $105.31 / $208.90 / $409.00	Professional		$105.31	$208.90	$409.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.74 / $160.74 / $160.74	Facility		$160.74	$160.74	$160.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $214.16 / $441.86	Professional		$104.79	$214.16	$441.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $152.60 / $398.60	Professional		$113.04	$152.60	$398.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $218.59 / $398.60	Professional		$99.55	$218.59	$398.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $449.61 / $493.19 / $493.19	Facility		$449.61	$493.19	$493.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $850.48 / $1,374.61 / $1,928.93	Professional		$850.48	$1,374.61	$1,928.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $189.44	Professional		$32.34	$32.34	$189.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.72 / $200.84 / $364.67	Facility		$99.72	$200.84	$364.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $233.05 / $545.85	Professional		$107.74	$233.05	$545.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $327.07 / $327.07 / $722.57	Professional		$327.07	$327.07	$722.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $165.78 / $328.33	Professional		$91.36	$165.78	$328.33
United Facility/Professional Facility Modifier Low / Median / High Price $262.62 / $262.62 / $262.62	Facility		$262.62	$262.62	$262.62
United Facility/Professional Professional Modifier Low / Median / High Price $168.09 / $233.32 / $613.82	Professional		$168.09	$233.32	$613.82