Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.49 / $5,505.00 / $16,713.00	Facility		$521.49	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.75 / $445.37 / $2,025.37	Professional		$293.75	$445.37	$2,025.37
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 $274.24 / $467.60 / $1,091.38	Professional		$274.24	$467.60	$1,091.38
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 $313.26 / $468.62 / $972.27	Professional		$313.26	$468.62	$972.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.37 / $559.70 / $1,068.38	Professional		$347.37	$559.70	$1,068.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $355.92 / $533.88 / $852.14	Professional		$355.92	$533.88	$852.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.61 / $625.30 / $1,101.11	Professional		$391.61	$625.30	$1,101.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,637.48 / $2,685.90 / $16,394.00	Facility		$2,637.48	$2,685.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,773.28 / $4,142.80 / $4,902.89	Professional		$2,773.28	$4,142.80	$4,902.89
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 $375.71 / $540.83 / $851.15	Facility		$375.71	$540.83	$851.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $352.25 / $589.61 / $1,117.44	Professional		$352.25	$589.61	$1,117.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,256.69 / $1,256.69 / $1,886.62	Professional		$1,256.69	$1,256.69	$1,886.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $360.55 / $573.70 / $788.84	Professional		$360.55	$573.70	$788.84
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.23 / $539.44 / $1,237.30	Professional		$418.23	$539.44	$1,237.30