Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,812.00 / $17,902.00	Facility		$1,208.95	$5,812.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.86 / $431.09 / $2,154.85	Professional		$355.86	$431.09	$2,154.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,314.00 / $8,260.00	Facility		$1,000.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.00 / $494.28 / $1,033.82	Professional		$361.00	$494.28	$1,033.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,905.14	Facility		$67.90	$100.00	$4,905.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $300.24 / $450.65 / $1,062.69	Professional		$300.24	$450.65	$1,062.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $199.58 / $629.00	Facility		$50.00	$199.58	$629.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.15 / $523.27 / $1,160.66	Professional		$374.15	$523.27	$1,160.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $231.20 / $629.27	Professional		$154.13	$231.20	$629.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.72 / $519.94 / $925.96	Professional		$395.72	$519.94	$925.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,839.62 / $2,919.30	Facility		$55.00	$2,839.62	$2,919.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,000.08 / $3,083.68 / $3,487.50	Professional		$3,000.08	$3,083.68	$3,487.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $42.40	Professional		$32.34	$32.34	$42.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.13 / $505.07 / $725.49	Facility		$337.13	$505.07	$725.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.80 / $558.63 / $1,102.48	Professional		$385.80	$558.63	$1,102.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,337.04 / $1,337.04 / $1,337.04	Professional		$1,337.04	$1,337.04	$1,337.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $277.44 / $537.50	Professional		$154.13	$277.44	$537.50
United Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $1,274.00 / $5,691.00	Facility		$234.00	$1,274.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.22 / $444.50 / $1,018.81	Professional		$325.22	$444.50	$1,018.81