Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.04 / $6,322.00 / $17,054.00	Facility		$443.04	$6,322.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.90 / $397.43 / $1,086.74	Professional		$240.90	$397.43	$1,086.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.14 / $384.86 / $783.30	Professional		$277.14	$384.86	$783.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $424.51 / $813.53	Professional		$276.89	$424.51	$813.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.69 / $458.50 / $835.88	Professional		$290.69	$458.50	$835.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $182.43 / $363.55 / $710.78	Professional		$182.43	$363.55	$710.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $462.46 / $799.77	Professional		$283.02	$462.46	$799.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,298.40 / $1,413.36 / $26,542.00	Facility		$1,298.40	$1,413.36	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,024.40 / $3,043.20 / $3,523.58	Professional		$2,024.40	$3,043.20	$3,523.58
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 $297.55 / $438.60 / $672.49	Facility		$297.55	$438.60	$672.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.63 / $485.55 / $917.14	Professional		$297.63	$485.55	$917.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $891.59 / $891.59 / $1,427.75	Professional		$891.59	$891.59	$1,427.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $255.40 / $345.08 / $585.22	Professional		$255.40	$345.08	$585.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,787.00 / $7,312.00 / $14,743.00	Facility		$2,787.00	$7,312.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.54 / $433.33 / $993.66	Professional		$329.54	$433.33	$993.66