Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.85 / $5,382.00 / $16,713.00	Facility		$438.85	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.99 / $416.96 / $1,631.35	Professional		$255.99	$416.96	$1,631.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.48 / $399.02 / $888.39	Professional		$251.48	$399.02	$888.39
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 $265.43 / $420.68 / $849.66	Professional		$265.43	$420.68	$849.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.12 / $485.01 / $913.99	Professional		$302.12	$485.01	$913.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $416.05 / $731.02	Professional		$161.58	$416.05	$731.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.68 / $523.83 / $947.47	Professional		$322.68	$523.83	$947.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,168.58 / $2,216.40 / $16,394.00	Facility		$2,168.58	$2,216.40	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,262.40 / $3,548.40 / $4,276.95	Professional		$2,262.40	$3,548.40	$4,276.95
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 $284.91 / $435.49 / $731.02	Facility		$284.91	$435.49	$731.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.30 / $503.72 / $961.92	Professional		$303.30	$503.72	$961.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,012.21 / $1,012.21 / $1,609.68	Professional		$1,012.21	$1,012.21	$1,609.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $210.05 / $323.66 / $676.43	Professional		$210.05	$323.66	$676.43
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 $365.48 / $485.50 / $1,221.13	Professional		$365.48	$485.50	$1,221.13