Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.66 / $6,695.00 / $17,809.00	Facility		$1,143.66	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $180.27 / $1,037.53	Professional		$159.10	$180.27	$1,037.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.07 / $292.33 / $558.52	Professional		$215.07	$292.33	$558.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,005.06	Facility		$66.00	$100.00	$10,005.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $127.20 / $191.57 / $475.43	Professional		$127.20	$191.57	$475.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,177.55 / $3,755.29 / $8,847.14	Facility		$3,177.55	$3,755.29	$8,847.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.76 / $256.06 / $773.16	Professional		$192.76	$256.06	$773.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $204.33 / $275.85	Professional		$150.04	$204.33	$275.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $238.43 / $419.63	Professional		$183.90	$238.43	$419.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,025.52 / $14,266.70	Facility		$55.00	$1,025.52	$14,266.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.15 / $43,989.26 / $45,748.83	Professional		$1,542.15	$43,989.26	$45,748.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $230.99 / $327.49	Facility		$185.12	$230.99	$327.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $258.39 / $561.38	Professional		$193.19	$258.39	$561.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $643.77 / $643.77 / $643.77	Professional		$643.77	$643.77	$643.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $210.05 / $255.06	Professional		$150.04	$210.05	$255.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,341.00 / $26,672.00	Facility		$5,478.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $224.64 / $626.87	Professional		$161.28	$224.64	$626.87