Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.72 / $6,697.00 / $17,013.00	Facility		$1,103.72	$6,697.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.05 / $964.30 / $4,595.00	Professional		$174.05	$964.30	$4,595.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.73 / $1,244.66 / $2,641.40	Professional		$226.73	$1,244.66	$2,641.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $7,182.43	Facility		$66.70	$100.00	$7,182.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.14 / $722.82 / $1,884.26	Professional		$186.14	$722.82	$1,884.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.77 / $1,057.45 / $2,491.26	Facility		$894.77	$1,057.45	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $997.20 / $2,643.21	Professional		$201.63	$997.20	$2,643.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $166.42 / $232.68 / $1,056.97	Professional		$166.42	$232.68	$1,056.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.45 / $688.15 / $1,405.54	Professional		$177.45	$688.15	$1,405.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $825.40 / $1,346.61	Facility		$55.00	$825.40	$1,346.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,734.37 / $5,287.44 / $6,176.03	Professional		$2,734.37	$5,287.44	$6,176.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.78 / $667.41 / $1,294.76	Facility		$197.78	$667.41	$1,294.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.33 / $1,035.67 / $2,486.48	Professional		$207.33	$1,035.67	$2,486.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $599.79 / $599.79 / $3,112.30	Professional		$599.79	$599.79	$3,112.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $166.42 / $216.34 / $1,068.51	Professional		$166.42	$216.34	$1,068.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,135.23 / $4,213.00 / $9,131.00	Facility		$2,135.23	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.23 / $1,125.75 / $3,297.72	Professional		$759.23	$1,125.75	$3,297.72