Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.47 / $4,848.00 / $16,109.00	Facility		$857.47	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $609.41 / $1,080.41	Professional		$137.62	$609.41	$1,080.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,145.00 / $4,604.00 / $9,274.00	Facility		$2,145.00	$4,604.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.66 / $937.24 / $1,957.59	Professional		$177.66	$937.24	$1,957.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $146.06 / $562.53 / $1,263.21	Professional		$146.06	$562.53	$1,263.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $519.94 / $1,238.91	Professional		$152.10	$519.94	$1,238.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $133.28 / $173.47 / $975.98	Professional		$133.28	$173.47	$975.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $580.84 / $1,209.71	Professional		$132.15	$580.84	$1,209.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,213.92 / $1,241.44	Facility		$55.00	$1,213.92	$1,241.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,307.77 / $4,450.88 / $5,217.14	Professional		$2,307.77	$4,450.88	$5,217.14
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 $132.77 / $446.50 / $998.96	Facility		$132.77	$446.50	$998.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $515.33 / $1,260.55	Professional		$155.60	$515.33	$1,260.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $450.21 / $450.21 / $2,079.13	Professional		$450.21	$450.21	$2,079.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.29 / $218.51 / $904.40	Professional		$131.29	$218.51	$904.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,655.00	Facility		$1,407.00	$2,753.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.14 / $713.44 / $1,656.13	Professional		$487.14	$713.44	$1,656.13