Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.92 / $8,858.00 / $19,368.00	Facility		$1,575.92	$8,858.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $287.80 / $1,434.29	Professional		$243.41	$287.80	$1,434.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,863.00 / $11,400.00	Facility		$2,100.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.69 / $421.48 / $775.68	Professional		$326.69	$421.48	$775.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $11,012.46	Facility		$65.90	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $242.14 / $346.86 / $759.48	Professional		$242.14	$346.86	$759.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.22 / $350.62 / $733.46	Professional		$279.22	$350.62	$733.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $295.17 / $368.96	Professional		$168.65	$295.17	$368.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.87 / $344.19 / $678.89	Professional		$249.87	$344.19	$678.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,906.73 / $2,451.51 / $26,542.00	Facility		$1,906.73	$2,451.51	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,477.23 / $3,477.23 / $3,477.23	Professional		$3,477.23	$3,477.23	$3,477.23
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 $283.64 / $357.02 / $579.82	Facility		$283.64	$357.02	$579.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.26 / $364.95 / $728.68	Professional		$279.26	$364.95	$728.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $889.94 / $889.94 / $889.94	Professional		$889.94	$889.94	$889.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $270.13 / $327.27	Professional		$219.25	$270.13	$327.27
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.15 / $292.20 / $603.29	Professional		$223.15	$292.20	$603.29