Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.92 / $4,702.00 / $16,109.00	Facility		$445.92	$4,702.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.83 / $383.37 / $1,480.95	Professional		$302.83	$383.37	$1,480.95
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 $334.86 / $470.94 / $1,182.98	Professional		$334.86	$470.94	$1,182.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,617.80	Facility		$65.90	$100.00	$1,617.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $347.29 / $496.13 / $1,087.94	Professional		$347.29	$496.13	$1,087.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.02 / $529.08 / $1,049.88	Professional		$364.02	$529.08	$1,049.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $316.08 / $499.28 / $665.86	Professional		$316.08	$499.28	$665.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.71 / $510.49 / $995.34	Professional		$366.71	$510.49	$995.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,693.96 / $1,854.07	Facility		$55.00	$1,693.96	$1,854.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,646.88 / $3,657.75 / $3,784.20	Professional		$2,646.88	$3,657.75	$3,784.20
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 $364.10 / $550.07 / $847.65	Facility		$364.10	$550.07	$847.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.09 / $558.05 / $1,049.36	Professional		$371.09	$558.05	$1,049.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,165.22 / $1,165.22 / $1,472.98	Professional		$1,165.22	$1,165.22	$1,472.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $350.80 / $455.16 / $616.64	Professional		$350.80	$455.16	$616.64
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,523.00 / $5,830.00	Facility		$587.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.71 / $482.39 / $1,205.13	Professional		$343.71	$482.39	$1,205.13