Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.11 / $481.65 / $2,565.30	Professional		$374.11	$481.65	$2,565.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.14 / $674.77 / $1,347.76	Professional		$506.14	$674.77	$1,347.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $299.07 / $429.37 / $991.03	Professional		$299.07	$429.37	$991.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.03 / $589.37 / $1,347.59	Professional		$410.03	$589.37	$1,347.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $276.62 / $599.92 / $809.91	Professional		$276.62	$599.92	$809.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.71 / $673.48 / $1,211.74	Professional		$495.71	$673.48	$1,211.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,954.94 / $5,246.20 / $16,394.00	Facility		$2,954.94	$5,246.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,654.88 / $3,726.96 / $4,641.14	Professional		$3,654.88	$3,726.96	$4,641.14
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 $482.29 / $640.00 / $881.79	Facility		$482.29	$640.00	$881.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.03 / $616.16 / $1,347.59	Professional		$410.03	$616.16	$1,347.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,591.71 / $1,591.71 / $1,591.71	Professional		$1,591.71	$1,591.71	$1,591.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $359.60 / $497.91 / $664.87	Professional		$359.60	$497.91	$664.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,152.00 / $4,038.00 / $9,682.00	Facility		$2,152.00	$4,038.00	$9,682.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.40 / $475.53 / $1,081.75	Professional		$356.40	$475.53	$1,081.75