Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.08 / $5,505.00 / $16,573.00	Facility		$566.08	$5,505.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $426.80 / $1,628.42	Professional		$298.89	$426.80	$1,628.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.54 / $459.19 / $921.23	Professional		$362.54	$459.19	$921.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $304.97 / $435.67 / $896.31	Professional		$304.97	$435.67	$896.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,360.35 / $4,227.49	Facility		$1,992.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.84 / $498.85 / $951.99	Professional		$328.84	$498.85	$951.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $255.40 / $447.78 / $820.95	Professional		$255.40	$447.78	$820.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.77 / $540.30 / $936.31	Professional		$350.77	$540.30	$936.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,347.14 / $2,389.44 / $16,394.00	Facility		$2,347.14	$2,389.44	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,459.36 / $3,504.40 / $4,169.47	Professional		$2,459.36	$3,504.40	$4,169.47
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 $348.81 / $496.82 / $766.22	Facility		$348.81	$496.82	$766.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.66 / $533.97 / $1,083.52	Professional		$341.66	$533.97	$1,083.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,063.11 / $1,063.11 / $1,551.19	Professional		$1,063.11	$1,063.11	$1,551.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $328.66 / $451.91 / $675.55	Professional		$328.66	$451.91	$675.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.61 / $470.05 / $1,070.41	Professional		$362.61	$470.05	$1,070.41