Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.40 / $560.86 / $3,066.93	Professional		$486.40	$560.86	$3,066.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,592.00 / $17,774.00	Facility		$2,776.00	$8,592.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.07 / $766.56 / $1,542.43	Professional		$612.07	$766.56	$1,542.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $421.90 / $614.45 / $1,382.12	Professional		$421.90	$614.45	$1,382.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $5,729.24 / $10,261.32	Facility		$2,813.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.47 / $709.29 / $1,586.92	Professional		$542.47	$709.29	$1,586.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $522.34 / $694.41 / $988.07	Professional		$522.34	$694.41	$988.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.79 / $773.99 / $1,383.03	Professional		$565.79	$773.99	$1,383.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,274.44 / $16,547.20	Facility		$2,000.00	$3,274.44	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,007.80 / $5,007.80 / $5,016.14	Professional		$5,007.80	$5,007.80	$5,016.14
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 $612.76 / $762.75 / $1,173.46	Facility		$612.76	$762.75	$1,173.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $543.04 / $739.18 / $1,551.33	Professional		$543.04	$739.18	$1,551.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,902.97 / $1,902.97 / $1,902.97	Professional		$1,902.97	$1,902.97	$1,902.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $560.66 / $770.92 / $988.06	Professional		$560.66	$770.92	$988.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.24 / $581.80 / $1,270.28	Professional		$435.24	$581.80	$1,270.28