Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.25 / $4,848.00 / $16,125.00	Facility		$208.25	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $177.43 / $458.23	Professional		$64.18	$177.43	$458.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $164.52 / $352.86	Professional		$68.18	$164.52	$352.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $100.00 / $254.35	Facility		$53.40	$100.00	$254.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $141.44 / $274.86	Professional		$72.81	$141.44	$274.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $248.92 / $752.92	Facility		$210.74	$248.92	$752.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $164.41 / $366.44	Professional		$71.55	$164.41	$366.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $133.16 / $235.88	Professional		$68.51	$133.16	$235.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $153.30 / $296.61	Professional		$58.60	$153.30	$296.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $289.01 / $293.27 / $293.27	Facility		$289.01	$293.27	$293.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.00 / $1,242.00 / $1,261.28	Professional		$1,242.00	$1,242.00	$1,261.28
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 $61.74 / $145.41 / $269.42	Facility		$61.74	$145.41	$269.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $168.54 / $366.59	Professional		$71.98	$168.54	$366.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $244.35 / $244.35 / $597.78	Professional		$244.35	$244.35	$597.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $158.99 / $218.61	Professional		$55.39	$158.99	$218.61
United Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $172.59 / $412.18	Professional		$131.30	$172.59	$412.18