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 $515.38 / $600.54 / $3,221.71	Professional		$515.38	$600.54	$3,221.71
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 $670.81 / $915.49 / $1,753.66	Professional		$670.81	$915.49	$1,753.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $638.60 / $915.86 / $1,964.05	Professional		$638.60	$915.86	$1,964.05
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 $615.51 / $874.62 / $1,702.92	Professional		$615.51	$874.62	$1,702.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $367.09 / $731.20 / $987.12	Professional		$367.09	$731.20	$987.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $598.69 / $815.20 / $1,463.46	Professional		$598.69	$815.20	$1,463.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,327.08 / $8,957.00 / $26,542.00	Facility		$2,327.08	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,247.92 / $5,358.30 / $5,421.10	Professional		$5,247.92	$5,358.30	$5,421.10
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 $620.85 / $809.75 / $1,192.38	Facility		$620.85	$809.75	$1,192.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $628.51 / $902.75 / $1,659.57	Professional		$628.51	$902.75	$1,659.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,999.00 / $1,999.00 / $1,999.00	Professional		$1,999.00	$1,999.00	$1,999.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $477.21 / $648.10 / $811.55	Professional		$477.21	$648.10	$811.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.61 / $669.18 / $1,502.74	Professional		$481.61	$669.18	$1,502.74