Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.25 / $7,108.00 / $20,135.00	Facility		$1,157.25	$7,108.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.75 / $216.04 / $784.67	Professional		$172.75	$216.04	$784.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,797.00 / $13,326.00	Facility		$1,450.00	$6,797.00	$13,326.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $247.02 / $493.80	Professional		$189.88	$247.02	$493.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,680.36	Facility		$67.90	$100.00	$7,680.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $220.22 / $496.76	Professional		$145.68	$220.22	$496.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $1,761.60 / $4,904.76	Facility		$520.00	$1,761.60	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.58 / $257.70 / $559.16	Professional		$192.58	$257.70	$559.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $178.60 / $321.60	Professional		$118.02	$178.60	$321.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $252.80 / $463.17	Professional		$192.00	$252.80	$463.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,093.44 / $7,909.30 / $26,542.00	Facility		$1,093.44	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.92 / $1,464.16 / $1,669.95	Professional		$1,429.92	$1,464.16	$1,669.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $279.27	Professional		$32.34	$32.34	$279.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.60 / $258.95 / $383.95	Facility		$195.60	$258.95	$383.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.15 / $284.00 / $525.00	Professional		$193.15	$284.00	$525.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $619.84 / $619.84 / $619.84	Professional		$619.84	$619.84	$619.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $177.03 / $264.62	Professional		$94.42	$177.03	$264.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $7,042.00 / $14,743.00	Facility		$1,300.00	$7,042.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $205.19 / $467.42	Professional		$151.19	$205.19	$467.42