Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.24 / $6,342.00 / $17,538.00	Facility		$621.24	$6,342.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.75 / $561.04 / $2,247.83	Professional		$372.75	$561.04	$2,247.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.37 / $584.51 / $1,218.57	Professional		$431.37	$584.51	$1,218.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $357.65 / $485.86 / $1,118.69	Professional		$357.65	$485.86	$1,118.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.63 / $654.71 / $1,249.71	Professional		$452.63	$654.71	$1,249.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $201.04 / $577.92 / $1,003.60	Professional		$201.04	$577.92	$1,003.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $450.32 / $674.04 / $1,149.23	Professional		$450.32	$674.04	$1,149.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,070.08 / $2,247.94 / $26,542.00	Facility		$2,070.08	$2,247.94	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,220.00 / $4,353.28 / $5,031.53	Professional		$3,220.00	$4,353.28	$5,031.53
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 $470.92 / $630.91 / $950.17	Facility		$470.92	$630.91	$950.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.69 / $693.44 / $1,360.11	Professional		$457.69	$693.44	$1,360.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,432.12 / $1,432.12 / $2,046.42	Professional		$1,432.12	$1,432.12	$2,046.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $477.58 / $826.23	Professional		$281.45	$477.58	$826.23
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 $460.57 / $614.30 / $1,414.50	Professional		$460.57	$614.30	$1,414.50