Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.25 / $9,639.00 / $20,509.00	Facility		$185.25	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.82 / $197.17 / $939.38	Professional		$174.82	$197.17	$939.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $10,983.00 / $22,417.00	Facility		$3,537.00	$10,983.00	$22,417.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.26 / $383.83 / $670.06	Professional		$277.26	$383.83	$670.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $263.98 / $573.71	Professional		$184.79	$263.98	$573.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $231.05 / $593.44	Professional		$188.84	$231.05	$593.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $184.76 / $221.71	Professional		$130.68	$184.76	$221.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.98 / $215.45 / $454.13	Professional		$167.98	$215.45	$454.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,505.16 / $1,852.92	Facility		$55.00	$1,505.16	$1,852.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.59 / $1,295.83 / $1,537.80	Professional		$1,267.59	$1,295.83	$1,537.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.82 / $218.37 / $296.70	Facility		$174.82	$218.37	$296.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $233.55 / $556.48	Professional		$188.84	$233.55	$556.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $582.86 / $582.86 / $582.86	Professional		$582.86	$582.86	$582.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $172.88 / $222.15	Professional		$130.68	$172.88	$222.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $230.44 / $496.22	Professional		$151.88	$230.44	$496.22