Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.69 / $9,674.00 / $22,788.00	Facility		$379.69	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.70 / $380.92 / $1,964.01	Professional		$327.70	$380.92	$1,964.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $5,291.07 / $13,707.00	Facility		$1,546.00	$5,291.07	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.61 / $503.93 / $1,023.80	Professional		$380.61	$503.93	$1,023.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $300.07 / $444.67 / $1,002.88	Professional		$300.07	$444.67	$1,002.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.58 / $750.00 / $5,431.00	Facility		$434.58	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.58 / $484.10 / $1,055.20	Professional		$374.58	$484.10	$1,055.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $392.83 / $432.11 / $530.32	Professional		$392.83	$432.11	$530.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.71 / $449.08 / $823.31	Professional		$339.71	$449.08	$823.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $922.14 / $1,792.94	Facility		$55.00	$922.14	$1,792.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,663.52 / $2,723.84 / $3,271.65	Professional		$2,663.52	$2,723.84	$3,271.65
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 $358.32 / $461.50 / $715.13	Facility		$358.32	$461.50	$715.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $376.38 / $525.04 / $1,021.59	Professional		$376.38	$525.04	$1,021.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,218.61 / $1,218.61 / $1,218.61	Professional		$1,218.61	$1,218.61	$1,218.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.58 / $425.97 / $930.42	Professional		$313.58	$425.97	$930.42