Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,827.00 / $3,546.00	Facility		$475.00	$1,827.00	$3,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $475.00 / $1,007.48	Professional		$206.79	$475.00	$1,007.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.00 / $570.00 / $1,014.88	Facility		$169.00	$570.00	$1,014.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.59 / $620.13 / $1,038.13	Professional		$224.59	$620.13	$1,038.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $1,531.51	Facility		$58.70	$100.00	$1,531.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $263.87 / $638.19	Professional		$172.87	$263.87	$638.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.63 / $289.42 / $3,605.00	Facility		$133.63	$289.42	$3,605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.29 / $277.33 / $653.38	Professional		$141.29	$277.33	$653.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $193.48 / $254.42 / $343.47	Professional		$193.48	$254.42	$343.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.01 / $260.92 / $475.00	Professional		$199.01	$260.92	$475.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $422.78 / $2,647.01 / $2,647.01	Facility		$422.78	$2,647.01	$2,647.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.26 / $1,349.26 / $1,679.10	Professional		$1,349.26	$1,349.26	$1,679.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $130.47	Professional		$32.34	$32.34	$130.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.47 / $294.37 / $520.35	Facility		$207.47	$294.37	$520.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $321.02 / $625.42	Professional		$149.21	$321.02	$625.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $761.75 / $761.75 / $761.75	Professional		$761.75	$761.75	$761.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $205.74 / $270.88 / $328.92	Professional		$205.74	$270.88	$328.92
United Facility/Professional Facility Modifier Low / Median / High Price $234.30 / $234.30 / $234.30	Facility		$234.30	$234.30	$234.30
United Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $240.41 / $571.92	Professional		$185.30	$240.41	$571.92