Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.59 / $4,848.00 / $16,573.00	Facility		$489.59	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.35 / $489.59 / $2,079.80	Professional		$294.35	$489.59	$2,079.80
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 $321.75 / $474.70 / $935.54	Professional		$321.75	$474.70	$935.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $320.43 / $472.07 / $987.59	Professional		$320.43	$472.07	$987.59
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 $343.35 / $554.22 / $1,167.06	Professional		$343.35	$554.22	$1,167.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.17 / $535.12 / $1,041.54	Professional		$183.17	$535.12	$1,041.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.17 / $676.49 / $1,172.09	Professional		$418.17	$676.49	$1,172.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,899.20 / $2,081.17 / $12,000.00	Facility		$1,899.20	$2,081.17	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,931.04 / $4,412.64 / $5,245.73	Professional		$2,931.04	$4,412.64	$5,245.73
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 $395.55 / $583.76 / $940.84	Facility		$395.55	$583.76	$940.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.76 / $586.91 / $1,276.69	Professional		$350.76	$586.91	$1,276.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,290.46 / $1,290.46 / $2,052.63	Professional		$1,290.46	$1,290.46	$2,052.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $256.44 / $441.89 / $857.16	Professional		$256.44	$441.89	$857.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.94 / $549.60 / $1,419.03	Professional		$411.94	$549.60	$1,419.03