Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.70 / $9,674.00 / $22,788.00	Facility		$514.70	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.54 / $497.31 / $2,036.74	Professional		$394.54	$497.31	$2,036.74
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 $430.10 / $631.77 / $1,382.69	Professional		$430.10	$631.77	$1,382.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $12,268.52	Facility		$67.90	$100.00	$12,268.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $342.21 / $498.51 / $1,130.16	Professional		$342.21	$498.51	$1,130.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,766.05 / $5,647.00	Facility		$633.00	$1,766.05	$5,647.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.89 / $624.50 / $1,429.93	Professional		$461.89	$624.50	$1,429.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.75 / $588.61 / $794.62	Professional		$379.75	$588.61	$794.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.35 / $634.13 / $1,099.00	Professional		$484.35	$634.13	$1,099.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,920.96 / $7,929.30	Facility		$55.00	$6,920.96	$7,929.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,627.28 / $3,688.64 / $4,405.88	Professional		$3,627.28	$3,688.64	$4,405.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $730.70	Professional		$32.34	$32.34	$730.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.75 / $645.79 / $972.76	Facility		$482.75	$645.79	$972.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $471.85 / $683.33 / $1,363.92	Professional		$471.85	$683.33	$1,363.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,613.59 / $1,613.59 / $1,613.59	Professional		$1,613.59	$1,613.59	$1,613.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $379.75 / $534.24 / $652.96	Professional		$379.75	$534.24	$652.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,071.00 / $20,828.00	Facility		$4,110.00	$9,071.00	$20,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.07 / $544.69 / $1,251.14	Professional		$389.07	$544.69	$1,251.14