Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.80 / $4,406.25 / $13,988.00	Facility		$883.80	$4,406.25	$13,988.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $243.45 / $1,036.00	Professional		$91.81	$243.45	$1,036.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $295.95 / $665.52	Professional		$120.06	$295.95	$665.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $241.64 / $1,993.74	Facility		$95.50	$241.64	$1,993.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $221.36 / $452.22	Professional		$100.00	$221.36	$452.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $258.11 / $663.16	Professional		$106.48	$258.11	$663.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $106.34 / $215.93 / $332.56	Professional		$106.34	$215.93	$332.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $246.21 / $432.74	Professional		$97.27	$246.21	$432.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $453.56 / $472.15	Facility		$55.00	$453.56	$472.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $896.63 / $1,731.84 / $1,999.35	Professional		$896.63	$1,731.84	$1,999.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.36 / $220.11 / $392.72	Facility		$107.36	$220.11	$392.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $261.55 / $644.22	Professional		$111.13	$261.55	$644.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $329.70 / $329.70 / $818.97	Professional		$329.70	$329.70	$818.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $244.45 / $336.12	Professional		$97.55	$244.45	$336.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,243.00 / $10,979.00	Facility		$2,212.00	$4,243.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.16 / $292.73 / $1,015.89	Professional		$195.16	$292.73	$1,015.89