Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $7,108.00 / $20,135.00	Facility		$1,587.51	$7,108.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.51 / $403.36 / $1,953.90	Professional		$365.51	$403.36	$1,953.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $7,140.00 / $15,529.00	Facility		$1,450.00	$7,140.00	$15,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.29 / $578.12 / $1,136.04	Professional		$419.29	$578.12	$1,136.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $19,707.12	Facility		$67.90	$100.00	$19,707.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $466.72 / $1,063.69	Professional		$321.52	$466.72	$1,063.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $7,789.48 / $22,145.98	Facility		$633.00	$7,789.48	$22,145.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.82 / $526.61 / $1,140.31	Professional		$393.82	$526.61	$1,140.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $344.01 / $412.81 / $650.73	Professional		$344.01	$412.81	$650.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.74 / $440.83 / $800.43	Professional		$332.74	$440.83	$800.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,707.10 / $26,542.00 / $37,231.85	Facility		$1,707.10	$26,542.00	$37,231.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.33 / $2,845.22 / $3,054.00	Professional		$2,754.33	$2,845.22	$3,054.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $543.08	Professional		$32.34	$32.34	$543.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.29 / $467.80 / $750.00	Facility		$370.29	$467.80	$750.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.70 / $540.16 / $1,023.15	Professional		$395.70	$540.16	$1,023.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,212.36 / $1,212.36 / $1,212.36	Professional		$1,212.36	$1,212.36	$1,212.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $344.01 / $427.28 / $619.21	Professional		$344.01	$427.28	$619.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,578.00 / $13,205.00 / $29,312.00	Facility		$4,578.00	$13,205.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.68 / $453.61 / $894.72	Professional		$312.68	$453.61	$894.72