Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.05 / $6,211.00 / $17,030.00	Facility		$497.05	$6,211.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.51 / $433.12 / $1,133.68	Professional		$301.51	$433.12	$1,133.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,007.00 / $13,707.00	Facility		$2,675.00	$7,007.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.35 / $426.50 / $930.28	Professional		$299.35	$426.50	$930.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $280.41 / $400.59 / $840.95	Professional		$280.41	$400.59	$840.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.84 / $488.18 / $961.96	Professional		$331.84	$488.18	$961.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $482.13 / $783.47	Professional		$253.16	$482.13	$783.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.10 / $522.32 / $899.54	Professional		$356.10	$522.32	$899.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,386.67 / $5,564.75 / $26,542.00	Facility		$2,386.67	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,868.00 / $3,354.48 / $3,921.15	Professional		$2,868.00	$3,354.48	$3,921.15
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 $346.40 / $497.30 / $725.44	Facility		$346.40	$497.30	$725.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $334.36 / $513.41 / $964.35	Professional		$334.36	$513.41	$964.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,124.58 / $1,124.58 / $1,520.10	Professional		$1,124.58	$1,124.58	$1,520.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $455.70 / $644.95	Professional		$329.11	$455.70	$644.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,218.00 / $9,131.00	Facility		$2,348.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.62 / $465.46 / $1,118.26	Professional		$352.62	$465.46	$1,118.26