Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,701.70 / $6,631.00 / $17,701.00	Facility		$1,701.70	$6,631.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.58 / $605.52 / $3,115.04	Professional		$496.58	$605.52	$3,115.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.03 / $853.24 / $1,695.62	Professional		$676.03	$853.24	$1,695.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $516.26 / $748.17 / $1,643.32	Professional		$516.26	$748.17	$1,643.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,894.76 / $12,348.83	Facility		$2,277.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.54 / $774.09 / $1,625.12	Professional		$598.54	$774.09	$1,625.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $304.17 / $707.63 / $955.30	Professional		$304.17	$707.63	$955.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.26 / $791.43 / $1,415.96	Professional		$579.26	$791.43	$1,415.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,813.55 / $19,913.50 / $26,542.00	Facility		$2,813.55	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,436.08 / $4,520.10 / $5,182.64	Professional		$4,436.08	$4,520.10	$5,182.64
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 $636.00 / $801.18 / $1,105.54	Facility		$636.00	$801.18	$1,105.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $603.40 / $825.19 / $1,595.74	Professional		$603.40	$825.19	$1,595.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,932.81 / $1,932.81 / $1,932.81	Professional		$1,932.81	$1,932.81	$1,932.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $395.42 / $571.20 / $785.40	Professional		$395.42	$571.20	$785.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $20,988.00	Facility		$4,523.00	$9,758.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.42 / $626.75 / $1,365.95	Professional		$469.42	$626.75	$1,365.95