Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.51 / $5,990.00 / $17,133.00	Facility		$1,000.51	$5,990.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.45 / $902.90 / $2,474.00	Professional		$114.45	$902.90	$2,474.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.61 / $1,867.14 / $3,505.09	Professional		$212.61	$1,867.14	$3,505.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $371.41 / $4,886.39	Facility		$67.90	$371.41	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $505.30 / $2,001.17	Professional		$130.15	$505.30	$2,001.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $750.00 / $5,431.00	Facility		$202.58	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $489.14 / $2,423.67	Professional		$130.93	$489.14	$2,423.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $920.70 / $1,939.33	Professional		$128.50	$920.70	$1,939.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $1,010.54 / $2,210.57	Professional		$117.33	$1,010.54	$2,210.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,187.65 / $2,187.65	Facility		$55.00	$2,187.65	$2,187.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,455.99 / $8,593.04 / $10,144.87	Professional		$4,455.99	$8,593.04	$10,144.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,001.48	Professional		$32.34	$32.34	$1,001.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.26 / $768.37 / $2,021.09	Facility		$122.26	$768.37	$2,021.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $517.60 / $3,005.53	Professional		$136.44	$517.60	$3,005.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $393.13 / $393.13 / $3,993.58	Professional		$393.13	$393.13	$3,993.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $1,196.91 / $1,797.44	Professional		$116.69	$1,196.91	$1,797.44
United Facility/Professional Facility Modifier Low / Median / High Price $894.00 / $2,607.00 / $7,655.00	Facility		$894.00	$2,607.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.34 / $1,243.88 / $2,980.84	Professional		$902.34	$1,243.88	$2,980.84