Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.65 / $523.16 / $2,723.36	Professional		$463.65	$523.16	$2,723.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,447.00 / $18,544.00	Facility		$3,028.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.72 / $767.95 / $1,472.21	Professional		$595.72	$767.95	$1,472.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,729.10	Facility		$66.00	$100.00	$11,729.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $413.90 / $601.77 / $1,320.71	Professional		$413.90	$601.77	$1,320.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $7,370.84 / $13,201.50	Facility		$3,203.00	$7,370.84	$13,201.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.80 / $689.69 / $1,477.40	Professional		$513.80	$689.69	$1,477.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $369.69 / $589.62 / $795.99	Professional		$369.69	$589.62	$795.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.15 / $658.48 / $1,173.70	Professional		$480.15	$658.48	$1,173.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,758.44 / $21,288.50 / $26,542.00	Facility		$2,758.44	$21,288.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,937.38 / $5,937.38 / $5,937.38	Professional		$5,937.38	$5,937.38	$5,937.38
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 $533.50 / $678.27 / $1,084.57	Facility		$533.50	$678.27	$1,084.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.67 / $706.23 / $1,368.87	Professional		$512.67	$706.23	$1,368.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,689.78 / $1,689.78 / $1,689.78	Professional		$1,689.78	$1,689.78	$1,689.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $476.42 / $554.54 / $699.32	Professional		$476.42	$554.54	$699.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,384.00 / $15,471.00	Facility		$3,800.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.11 / $549.17 / $1,147.20	Professional		$407.11	$549.17	$1,147.20