Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.97 / $9,029.00 / $20,673.00	Facility		$684.97	$9,029.00	$20,673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.02 / $615.57 / $2,787.21	Professional		$454.02	$615.57	$2,787.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.51 / $722.73 / $1,454.23	Professional		$541.51	$722.73	$1,454.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $464.94 / $659.98 / $1,441.50	Professional		$464.94	$659.98	$1,441.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $5,729.24 / $10,261.32	Facility		$4,445.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.11 / $755.89 / $1,456.96	Professional		$523.11	$755.89	$1,456.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $619.59 / $827.52 / $1,126.80	Professional		$619.59	$827.52	$1,126.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.62 / $769.11 / $1,350.71	Professional		$522.62	$769.11	$1,350.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,483.12 / $3,580.50 / $26,542.00	Facility		$3,483.12	$3,580.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,660.00 / $4,734.88 / $5,599.35	Professional		$4,660.00	$4,734.88	$5,599.35
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 $588.54 / $792.14 / $1,128.48	Facility		$588.54	$792.14	$1,128.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $527.10 / $790.25 / $1,539.03	Professional		$527.10	$790.25	$1,539.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,729.41 / $1,729.41 / $2,235.51	Professional		$1,729.41	$1,729.41	$2,235.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $563.08 / $752.32 / $1,340.28	Professional		$563.08	$752.32	$1,340.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,402.00 / $15,471.00	Facility		$3,800.00	$7,402.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.94 / $668.58 / $1,484.01	Professional		$518.94	$668.58	$1,484.01