Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.48 / $5,812.00 / $17,902.00	Facility		$1,037.48	$5,812.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $179.81 / $680.00	Professional		$151.62	$179.81	$680.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.97 / $201.93 / $422.30	Professional		$125.97	$201.93	$422.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,485.17	Facility		$67.90	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $170.57 / $405.99	Professional		$117.76	$170.57	$405.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.57 / $1,658.93 / $4,917.14	Facility		$447.57	$1,658.93	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.40 / $223.13 / $523.65	Professional		$160.40	$223.13	$523.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $207.39 / $279.98	Professional		$75.58	$207.39	$279.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.83 / $225.60 / $418.86	Professional		$171.83	$225.60	$418.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,020.36 / $7,929.30 / $12,000.00	Facility		$1,020.36	$7,929.30	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.04 / $1,316.64 / $1,576.58	Professional		$1,295.04	$1,316.64	$1,576.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $262.12	Professional		$32.34	$32.34	$262.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.30 / $224.62 / $331.82	Facility		$171.30	$224.62	$331.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $245.18 / $480.70	Professional		$164.36	$245.18	$480.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $572.34 / $572.34 / $572.34	Professional		$572.34	$572.34	$572.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $136.04 / $230.01	Professional		$75.58	$136.04	$230.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.08 / $185.04 / $429.30	Professional		$136.08	$185.04	$429.30