Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,229.00 / $17,380.00	Facility		$1,174.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.33 / $168.28 / $923.19	Professional		$156.33	$168.28	$923.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,785.00 / $11,400.00	Facility		$1,759.00	$4,785.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $286.45 / $548.26	Professional		$201.85	$286.45	$548.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $202.65 / $486.57	Professional		$139.22	$202.65	$486.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $1,182.65 / $2,786.23	Facility		$1,000.71	$1,182.65	$2,786.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $227.08 / $705.12	Professional		$175.13	$227.08	$705.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $179.82 / $200.63 / $340.16	Professional		$179.82	$200.63	$340.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.15 / $209.96 / $375.34	Professional		$164.15	$209.96	$375.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,066.80 / $4,493.00 / $16,394.00	Facility		$1,066.80	$4,493.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,553.70 / $1,553.70 / $1,553.70	Professional		$1,553.70	$1,553.70	$1,553.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.03 / $232.03 / $388.15	Facility		$172.03	$232.03	$388.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $227.32 / $495.67	Professional		$175.13	$227.32	$495.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $572.82 / $572.82 / $572.82	Professional		$572.82	$572.82	$572.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $226.77 / $340.15	Professional		$167.51	$226.77	$340.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,060.00 / $12,875.00	Facility		$2,230.00	$4,060.00	$12,875.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $201.60 / $661.59	Professional		$142.38	$201.60	$661.59