Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.03 / $468.68 / $2,565.65	Professional		$384.03	$468.68	$2,565.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.16 / $630.73 / $1,240.24	Professional		$492.16	$630.73	$1,240.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,170.31	Facility		$66.00	$100.00	$7,170.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $375.55 / $540.48 / $1,205.54	Professional		$375.55	$540.48	$1,205.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.33 / $603.66 / $1,309.82	Professional		$460.33	$603.66	$1,309.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $406.55 / $621.29 / $838.76	Professional		$406.55	$621.29	$838.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.08 / $686.35 / $1,244.33	Professional		$501.08	$686.35	$1,244.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,910.40 / $8,957.00 / $16,394.00	Facility		$1,910.40	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,702.40 / $3,805.36 / $4,410.00	Professional		$3,702.40	$3,805.36	$4,410.00
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 $513.60 / $647.95 / $900.89	Facility		$513.60	$647.95	$900.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.39 / $651.96 / $1,313.88	Professional		$460.39	$651.96	$1,313.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,591.92 / $1,591.92 / $1,591.92	Professional		$1,591.92	$1,591.92	$1,591.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $501.73 / $609.83 / $769.04	Professional		$501.73	$609.83	$769.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,213.00 / $9,131.00	Facility		$2,212.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.19 / $495.40 / $1,169.04	Professional		$377.19	$495.40	$1,169.04