Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $540.89 / $2,909.37	Professional		$467.25	$540.89	$2,909.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.00 / $736.75 / $1,517.72	Professional		$545.00	$736.75	$1,517.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,416.95	Facility		$66.00	$100.00	$9,416.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $370.25 / $536.66 / $1,210.40	Professional		$370.25	$536.66	$1,210.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.65 / $677.72 / $1,520.86	Professional		$501.65	$677.72	$1,520.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $283.32 / $683.10 / $922.19	Professional		$283.32	$683.10	$922.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.73 / $757.79 / $1,353.55	Professional		$553.73	$757.79	$1,353.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,125.32 / $4,754.80 / $26,542.00	Facility		$2,125.32	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,113.68 / $4,185.35 / $4,902.89	Professional		$4,113.68	$4,185.35	$4,902.89
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 $514.70 / $719.06 / $996.75	Facility		$514.70	$719.06	$996.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $515.34 / $714.98 / $1,484.38	Professional		$515.34	$714.98	$1,484.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,805.21 / $1,805.21 / $1,805.21	Professional		$1,805.21	$1,805.21	$1,805.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $368.32 / $551.54 / $758.38	Professional		$368.32	$551.54	$758.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,038.00 / $9,072.00	Facility		$2,212.00	$4,038.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.66 / $555.79 / $1,217.92	Professional		$427.66	$555.79	$1,217.92