Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.99 / $501.80 / $2,620.82	Professional		$416.99	$501.80	$2,620.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.72 / $745.41 / $1,427.43	Professional		$568.72	$745.41	$1,427.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $437.47 / $624.95 / $1,368.39	Professional		$437.47	$624.95	$1,368.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $666.52 / $1,379.83	Professional		$508.87	$666.52	$1,379.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $607.70 / $820.40	Professional		$421.82	$607.70	$820.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.75 / $676.59 / $1,209.38	Professional		$494.75	$676.59	$1,209.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,909.28 / $8,957.00 / $26,542.00	Facility		$1,909.28	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,988.26 / $4,119.87 / $4,400.25	Professional		$3,988.26	$4,119.87	$4,400.25
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 $541.27 / $701.41 / $996.87	Facility		$541.27	$701.41	$996.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.23 / $702.61 / $1,343.97	Professional		$512.23	$702.61	$1,343.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,626.17 / $1,626.17 / $1,626.17	Professional		$1,626.17	$1,626.17	$1,626.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $490.61 / $632.72 / $797.92	Professional		$490.61	$632.72	$797.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.78 / $526.75 / $1,232.07	Professional		$397.78	$526.75	$1,232.07