Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.73 / $9,639.00 / $20,509.00	Facility		$186.73	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.54 / $183.81 / $964.58	Professional		$159.54	$183.81	$964.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.98 / $327.77 / $638.82	Professional		$239.98	$327.77	$638.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $458.89	Facility		$57.50	$100.00	$458.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $118.42 / $174.36 / $404.98	Professional		$118.42	$174.36	$404.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.99 / $225.55 / $556.12	Professional		$179.99	$225.55	$556.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $188.49 / $190.73 / $257.49	Professional		$188.49	$190.73	$257.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.66 / $217.54 / $404.11	Professional		$171.66	$217.54	$404.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $408.33 / $837.16 / $869.82	Facility		$408.33	$837.16	$869.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.03 / $1,148.03 / $1,574.55	Professional		$1,148.03	$1,148.03	$1,574.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.17 / $238.41 / $311.61	Facility		$184.17	$238.41	$311.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.28 / $225.38 / $517.77	Professional		$181.28	$225.38	$517.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $598.49 / $598.49 / $598.49	Professional		$598.49	$598.49	$598.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $342.91 / $514.37	Professional		$177.78	$342.91	$514.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $209.35 / $500.29	Professional		$148.22	$209.35	$500.29