Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.66 / $4,848.00 / $16,573.00	Facility		$501.66	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.58 / $476.49 / $2,534.92	Professional		$403.58	$476.49	$2,534.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.66 / $660.74 / $1,308.96	Professional		$518.66	$660.74	$1,308.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $379.39 / $523.54 / $1,195.75	Professional		$379.39	$523.54	$1,195.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.31 / $610.57 / $1,286.98	Professional		$467.31	$610.57	$1,286.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $494.04 / $647.95 / $809.68	Professional		$494.04	$647.95	$809.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.71 / $674.09 / $1,186.39	Professional		$505.71	$674.09	$1,186.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,863.55 / $2,916.50 / $12,000.00	Facility		$2,863.55	$2,916.50	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,599.76 / $3,923.12 / $4,585.05	Professional		$3,599.76	$3,923.12	$4,585.05
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 $531.54 / $652.42 / $878.50	Facility		$531.54	$652.42	$878.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.00 / $647.41 / $1,319.10	Professional		$479.00	$647.41	$1,319.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,572.87 / $1,572.87 / $1,682.27	Professional		$1,572.87	$1,572.87	$1,682.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $523.27 / $665.90 / $889.28	Professional		$523.27	$665.90	$889.28
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.98 / $515.90 / $1,155.30	Professional		$397.98	$515.90	$1,155.30