Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,588.00 / $17,393.00	Facility		$1,587.51	$6,588.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.56 / $575.57 / $1,613.07	Professional		$476.56	$575.57	$1,613.07
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 $635.97 / $812.93 / $1,593.63	Professional		$635.97	$812.93	$1,593.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,389.08	Facility		$66.00	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $459.33 / $666.28 / $1,485.01	Professional		$459.33	$666.28	$1,485.01
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 $567.61 / $719.80 / $1,561.96	Professional		$567.61	$719.80	$1,561.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $265.08 / $682.80 / $921.78	Professional		$265.08	$682.80	$921.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.37 / $763.00 / $1,364.90	Professional		$558.37	$763.00	$1,364.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,167.12 / $8,957.00 / $26,542.00	Facility		$2,167.12	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,188.96 / $4,270.39 / $4,991.55	Professional		$4,188.96	$4,270.39	$4,991.55
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 $592.20 / $744.49 / $1,033.79	Facility		$592.20	$744.49	$1,033.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $571.10 / $777.44 / $1,534.64	Professional		$571.10	$777.44	$1,534.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,858.02 / $1,858.02 / $1,858.02	Professional		$1,858.02	$1,858.02	$1,858.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $344.60 / $551.16 / $757.86	Professional		$344.60	$551.16	$757.86
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.20 / $591.84 / $1,278.85	Professional		$452.20	$591.84	$1,278.85