Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $18,252.00	Facility		$1,820.00	$6,695.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.97 / $522.12 / $2,407.00	Professional		$434.97	$522.12	$2,407.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.58 / $693.94 / $1,403.16	Professional		$512.58	$693.94	$1,403.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $434.55 / $624.53 / $1,380.90	Professional		$434.55	$624.53	$1,380.90
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 $514.97 / $684.58 / $1,501.13	Professional		$514.97	$684.58	$1,501.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $250.56 / $688.52 / $929.50	Professional		$250.56	$688.52	$929.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.09 / $738.70 / $1,329.99	Professional		$544.09	$738.70	$1,329.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,017.44 / $4,754.80 / $26,542.00	Facility		$2,017.44	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,030.73 / $4,064.08 / $4,666.20	Professional		$4,030.73	$4,064.08	$4,666.20
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 $540.20 / $725.45 / $998.35	Facility		$540.20	$725.45	$998.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.53 / $740.35 / $1,445.15	Professional		$520.53	$740.35	$1,445.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,705.19 / $1,705.19 / $1,705.19	Professional		$1,705.19	$1,705.19	$1,705.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $325.73 / $537.15 / $765.02	Professional		$325.73	$537.15	$765.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.89 / $529.20 / $1,177.14	Professional		$397.89	$529.20	$1,177.14