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 $387.93 / $503.22 / $2,532.48	Professional		$387.93	$503.22	$2,532.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.85 / $687.00 / $1,359.26	Professional		$555.85	$687.00	$1,359.26
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 $305.11 / $435.87 / $1,009.63	Professional		$305.11	$435.87	$1,009.63
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 $415.96 / $585.88 / $1,321.25	Professional		$415.96	$585.88	$1,321.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $584.28 / $788.78	Professional		$295.23	$584.28	$788.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.04 / $659.52 / $1,187.90	Professional		$485.04	$659.52	$1,187.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,909.22 / $5,246.20 / $16,394.00	Facility		$2,909.22	$5,246.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,589.52 / $3,665.92 / $4,570.58	Professional		$3,589.52	$3,665.92	$4,570.58
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 $491.36 / $632.00 / $891.11	Facility		$491.36	$632.00	$891.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.96 / $608.29 / $1,328.59	Professional		$415.96	$608.29	$1,328.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,571.34 / $1,571.34 / $1,571.34	Professional		$1,571.34	$1,571.34	$1,571.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.80 / $521.24 / $647.41	Professional		$383.80	$521.24	$647.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.80 / $496.87 / $1,083.30	Professional		$377.80	$496.87	$1,083.30