Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.89 / $494.51 / $2,648.16	Professional		$418.89	$494.51	$2,648.16
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 $551.66 / $723.04 / $1,390.18	Professional		$551.66	$723.04	$1,390.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,182.43	Facility		$66.00	$100.00	$7,182.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $387.44 / $561.64 / $1,262.15	Professional		$387.44	$561.64	$1,262.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.89 / $636.66 / $1,380.93	Professional		$495.89	$636.66	$1,380.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.39 / $613.30 / $844.40	Professional		$446.39	$613.30	$844.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $498.96 / $682.44 / $1,219.68	Professional		$498.96	$682.44	$1,219.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,885.70 / $8,957.00 / $16,394.00	Facility		$2,885.70	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,722.56 / $3,792.88 / $4,434.45	Professional		$3,722.56	$3,792.88	$4,434.45
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 $544.05 / $673.95 / $981.30	Facility		$544.05	$673.95	$981.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $502.50 / $677.88 / $1,349.39	Professional		$502.50	$677.88	$1,349.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,643.14 / $1,643.14 / $1,643.14	Professional		$1,643.14	$1,643.14	$1,643.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $495.15 / $669.58 / $844.40	Professional		$495.15	$669.58	$844.40
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 $399.00 / $522.00 / $1,246.42	Professional		$399.00	$522.00	$1,246.42