Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,595.00 / $5,310.00 / $17,380.00	Facility		$1,595.00	$5,310.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.02 / $969.34 / $4,156.39	Professional		$372.02	$969.34	$4,156.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.79 / $2,348.86 / $5,928.60	Professional		$481.79	$2,348.86	$5,928.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,881.37	Facility		$67.90	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,068.75 / $3,404.00 / $6,716.72	Professional		$2,068.75	$3,404.00	$6,716.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,093.33 / $4,198.00	Facility		$633.00	$1,093.33	$4,198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.72 / $1,017.24 / $4,094.32	Professional		$419.72	$1,017.24	$4,094.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $284.44 / $561.83 / $1,403.45	Professional		$284.44	$561.83	$1,403.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.44 / $903.17 / $1,702.21	Professional		$389.44	$903.17	$1,702.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,591.34 / $2,663.16	Facility		$55.00	$2,591.34	$2,663.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,765.60 / $14,184.47 / $15,571.33	Professional		$4,765.60	$14,184.47	$15,571.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $744.27	Professional		$32.34	$32.34	$744.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $412.02 / $900.00 / $2,299.96	Facility		$412.02	$900.00	$2,299.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $428.56 / $1,060.73 / $3,880.07	Professional		$428.56	$1,060.73	$3,880.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,238.47 / $1,238.47 / $3,216.01	Professional		$1,238.47	$1,238.47	$3,216.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $284.44 / $520.26 / $1,300.43	Professional		$284.44	$520.26	$1,300.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,206.00 / $15,471.00	Facility		$1,738.00	$7,206.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $775.64 / $1,519.55 / $3,950.96	Professional		$775.64	$1,519.55	$3,950.96