Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.57 / $401.60 / $2,131.73	Professional		$330.57	$401.60	$2,131.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.11 / $582.51 / $1,086.40	Professional		$431.11	$582.51	$1,086.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,403.01	Facility		$66.00	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $297.64 / $431.66 / $970.06	Professional		$297.64	$431.66	$970.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $497.18 / $1,097.02	Professional		$386.00	$497.18	$1,097.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $315.33 / $506.31 / $683.52	Professional		$315.33	$506.31	$683.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.76 / $564.40 / $1,001.64	Professional		$409.76	$564.40	$1,001.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,569.28 / $8,957.00 / $12,000.00	Facility		$1,569.28	$8,957.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,039.68 / $3,090.16 / $3,620.18	Professional		$3,039.68	$3,090.16	$3,620.18
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 $373.75 / $529.66 / $734.15	Facility		$373.75	$529.66	$734.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.71 / $524.10 / $1,093.80	Professional		$387.71	$524.10	$1,093.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,322.71 / $1,322.71 / $1,322.71	Professional		$1,322.71	$1,322.71	$1,322.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $408.83 / $473.01 / $596.50	Professional		$408.83	$473.01	$596.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,753.00 / $7,655.00	Facility		$1,410.00	$2,753.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.01 / $407.05 / $906.85	Professional		$314.01	$407.05	$906.85