Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.12 / $4,932.00 / $16,196.79	Facility		$319.12	$4,932.00	$16,196.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.41 / $267.27 / $1,237.08	Professional		$186.41	$267.27	$1,237.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.05 / $351.00 / $698.83	Professional		$272.05	$351.00	$698.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $213.18 / $304.54 / $648.19	Professional		$213.18	$304.54	$648.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.25 / $347.23 / $632.03	Professional		$229.25	$347.23	$632.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $293.81 / $435.92	Professional		$202.53	$293.81	$435.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.36 / $328.98 / $575.72	Professional		$220.36	$328.98	$575.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,779.61 / $4,017.35 / $16,394.00	Facility		$1,779.61	$4,017.35	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,616.08 / $2,231.60 / $2,609.17	Professional		$1,616.08	$2,231.60	$2,609.17
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 $224.84 / $355.02 / $486.00	Facility		$224.84	$355.02	$486.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.97 / $362.27 / $632.03	Professional		$234.97	$362.27	$632.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $732.49 / $732.49 / $1,021.01	Professional		$732.49	$732.49	$1,021.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $293.36 / $403.37	Professional		$202.53	$293.36	$403.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,753.00 / $7,655.00	Facility		$1,410.00	$2,753.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.66 / $329.04 / $844.98	Professional		$244.66	$329.04	$844.98