Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.60 / $5,980.00 / $17,054.00	Facility		$1,156.60	$5,980.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $876.01 / $1,686.50	Professional		$193.33	$876.01	$1,686.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,399.00	Facility		$2,696.00	$7,166.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.32 / $991.52 / $3,093.92	Professional		$278.32	$991.52	$3,093.92
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 $212.13 / $753.90 / $2,144.48	Professional		$212.13	$753.90	$2,144.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $336.96 / $336.96	Facility		$336.96	$336.96	$336.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.15 / $853.68 / $2,179.29	Professional		$222.15	$853.68	$2,179.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $260.79 / $1,647.54	Professional		$173.86	$260.79	$1,647.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.77 / $728.78 / $1,577.72	Professional		$185.77	$728.78	$1,577.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,746.26 / $1,746.26	Facility		$55.00	$1,746.26	$1,746.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,545.89 / $6,685.04 / $7,956.00	Professional		$3,545.89	$6,685.04	$7,956.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $796.69	Professional		$32.34	$32.34	$796.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $876.01 / $1,648.80	Facility		$210.60	$876.01	$1,648.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.72 / $908.04 / $2,475.65	Professional		$233.72	$908.04	$2,475.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $635.64 / $635.64 / $3,546.05	Professional		$635.64	$635.64	$3,546.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $243.41 / $1,356.61	Professional		$161.13	$243.41	$1,356.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $10,001.00 / $23,219.00	Facility		$5,670.00	$10,001.00	$23,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $871.16 / $1,349.52 / $2,770.78	Professional		$871.16	$1,349.52	$2,770.78