Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.14 / $9,674.00 / $22,788.00	Facility		$521.14	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $563.54 / $2,944.57	Professional		$427.26	$563.54	$2,944.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $6,914.64 / $14,743.00	Facility		$2,275.00	$6,914.64	$14,743.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.87 / $635.51 / $1,328.22	Professional		$484.87	$635.51	$1,328.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,403.01	Facility		$66.70	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $344.56 / $500.11 / $1,205.20	Professional		$344.56	$500.11	$1,205.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $750.00 / $5,431.00	Facility		$633.00	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.79 / $665.84 / $1,526.10	Professional		$463.79	$665.84	$1,526.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $373.42 / $565.09 / $862.38	Professional		$373.42	$565.09	$862.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.19 / $715.90 / $1,291.42	Professional		$547.19	$715.90	$1,291.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,937.98 / $4,005.36	Facility		$55.00	$3,937.98	$4,005.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,108.00 / $4,178.39 / $4,991.18	Professional		$4,108.00	$4,178.39	$4,991.18
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 $524.41 / $708.88 / $997.56	Facility		$524.41	$708.88	$997.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $463.98 / $718.53 / $1,526.10	Professional		$463.98	$718.53	$1,526.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,827.06 / $1,827.06 / $1,827.06	Professional		$1,827.06	$1,827.06	$1,827.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $373.42 / $602.05 / $735.85	Professional		$373.42	$602.05	$735.85
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 $418.76 / $587.52 / $1,490.55	Professional		$418.76	$587.52	$1,490.55