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 $521.63 / $606.23 / $2,335.13	Professional		$521.63	$606.23	$2,335.13
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 $650.40 / $872.06 / $1,737.80	Professional		$650.40	$872.06	$1,737.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,743.18	Facility		$66.00	$100.00	$8,743.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.46 / $708.44 / $1,597.18	Professional		$489.46	$708.44	$1,597.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,930.72 / $7,040.10	Facility		$2,277.00	$3,930.72	$7,040.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.01 / $786.50 / $1,703.63	Professional		$620.01	$786.50	$1,703.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.96 / $739.95 / $998.93	Professional		$521.96	$739.95	$998.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.89 / $824.98 / $1,481.06	Professional		$605.89	$824.98	$1,481.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,355.48 / $11,352.75 / $26,542.00	Facility		$2,355.48	$11,352.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,551.04 / $4,644.16 / $5,424.98	Professional		$4,551.04	$4,644.16	$5,424.98
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 $662.19 / $819.43 / $1,110.80	Facility		$662.19	$819.43	$1,110.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $625.69 / $836.11 / $1,673.01	Professional		$625.69	$836.11	$1,673.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,032.35 / $2,032.35 / $2,032.35	Professional		$2,032.35	$2,032.35	$2,032.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $597.27 / $782.95 / $987.36	Professional		$597.27	$782.95	$987.36
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.20 / $648.00 / $1,541.59	Professional		$500.20	$648.00	$1,541.59