Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.65 / $5,382.00 / $16,713.00	Facility		$489.65	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.77 / $450.80 / $1,820.34	Professional		$300.77	$450.80	$1,820.34
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 $285.79 / $429.23 / $969.33	Professional		$285.79	$429.23	$969.33
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 $272.54 / $435.38 / $884.21	Professional		$272.54	$435.38	$884.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.75 / $528.11 / $994.22	Professional		$334.75	$528.11	$994.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.24 / $470.73 / $799.09	Professional		$174.24	$470.73	$799.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.46 / $582.29 / $1,032.01	Professional		$359.46	$582.29	$1,032.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,650.48 / $6,817.20 / $16,394.00	Facility		$1,650.48	$6,817.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,545.19 / $3,878.88 / $4,594.64	Professional		$2,545.19	$3,878.88	$4,594.64
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 $333.80 / $503.38 / $799.09	Facility		$333.80	$503.38	$799.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.39 / $556.11 / $1,043.20	Professional		$344.39	$556.11	$1,043.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,129.47 / $1,129.47 / $1,737.76	Professional		$1,129.47	$1,129.47	$1,737.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $226.51 / $364.27 / $739.73	Professional		$226.51	$364.27	$739.73
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 $392.08 / $503.55 / $1,153.58	Professional		$392.08	$503.55	$1,153.58