Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.97 / $5,382.00 / $16,713.00	Facility		$563.97	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.35 / $485.58 / $2,406.04	Professional		$384.35	$485.58	$2,406.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.97 / $512.33 / $1,103.48	Professional		$363.97	$512.33	$1,103.48
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 $307.74 / $439.63 / $1,016.25	Professional		$307.74	$439.63	$1,016.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.21 / $617.03 / $1,215.36	Professional		$427.21	$617.03	$1,215.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $632.26 / $864.10	Professional		$158.60	$632.26	$864.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.64 / $664.14 / $1,117.73	Professional		$470.64	$664.14	$1,117.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,145.60 / $3,519.85 / $16,394.00	Facility		$2,145.60	$3,519.85	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,329.92 / $4,215.04 / $4,975.50	Professional		$3,329.92	$4,215.04	$4,975.50
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 $381.23 / $579.77 / $872.64	Facility		$381.23	$579.77	$872.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.09 / $636.83 / $1,229.80	Professional		$435.09	$636.83	$1,229.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,492.90 / $1,492.90 / $1,935.29	Professional		$1,492.90	$1,492.90	$1,935.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $300.01 / $654.48	Professional		$177.63	$300.01	$654.48
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,506.00 / $5,691.00	Facility		$570.00	$1,506.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.02 / $570.17 / $1,331.85	Professional		$436.02	$570.17	$1,331.85