Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.21 / $5,382.00 / $16,713.00	Facility		$475.21	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $426.31 / $1,904.00	Professional		$268.08	$426.31	$1,904.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.38 / $414.76 / $944.34	Professional		$259.38	$414.76	$944.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,010.49	Facility		$65.90	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $252.19 / $421.84 / $852.14	Professional		$252.19	$421.84	$852.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.39 / $499.30 / $967.51	Professional		$315.39	$499.30	$967.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $445.64 / $778.97	Professional		$161.94	$445.64	$778.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.33 / $555.61 / $1,003.31	Professional		$339.33	$555.61	$1,003.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,562.68 / $6,817.20 / $16,394.00	Facility		$1,562.68	$6,817.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,394.88 / $3,754.80 / $4,459.72	Professional		$2,394.88	$3,754.80	$4,459.72
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 $313.89 / $478.85 / $778.97	Facility		$313.89	$478.85	$778.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.75 / $532.71 / $1,031.68	Professional		$324.75	$532.71	$1,031.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,067.51 / $1,067.51 / $1,704.65	Professional		$1,067.51	$1,067.51	$1,704.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.38 / $306.35 / $590.01	Professional		$181.38	$306.35	$590.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,454.00 / $15,471.00	Facility		$3,842.00	$7,454.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.13 / $502.86 / $1,267.38	Professional		$378.13	$502.86	$1,267.38