Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.84 / $7,000.00 / $18,293.00	Facility		$456.84	$7,000.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $407.45 / $1,914.56	Professional		$312.73	$407.45	$1,914.56
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 $319.33 / $438.99 / $982.27	Professional		$319.33	$438.99	$982.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $301.12 / $430.17 / $895.52	Professional		$301.12	$430.17	$895.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.40 / $509.31 / $1,023.16	Professional		$357.40	$509.31	$1,023.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.78 / $500.49 / $675.92	Professional		$150.78	$500.49	$675.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.86 / $514.24 / $881.89	Professional		$368.86	$514.24	$881.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,641.00 / $1,848.46	Facility		$55.00	$1,641.00	$1,848.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,621.04 / $3,286.72 / $3,804.53	Professional		$2,621.04	$3,286.72	$3,804.53
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 $320.02 / $463.74 / $696.34	Facility		$320.02	$463.74	$696.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.70 / $534.17 / $1,048.49	Professional		$363.70	$534.17	$1,048.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,187.95 / $1,187.95 / $1,541.38	Professional		$1,187.95	$1,187.95	$1,541.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $351.70 / $626.03	Professional		$196.02	$351.70	$626.03
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 $357.29 / $476.38 / $1,169.53	Professional		$357.29	$476.38	$1,169.53