Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.22 / $5,812.00 / $17,380.00	Facility		$442.22	$5,812.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.17 / $420.00 / $1,609.00	Professional		$294.17	$420.00	$1,609.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.14 / $502.93 / $1,087.83	Professional		$312.14	$502.93	$1,087.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,300.60	Facility		$66.00	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $272.39 / $389.13 / $904.37	Professional		$272.39	$389.13	$904.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $452.19 / $1,076.38	Professional		$300.18	$452.19	$1,076.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $343.07 / $648.90	Professional		$110.57	$343.07	$648.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.25 / $446.73 / $763.13	Professional		$283.25	$446.73	$763.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.84 / $1,383.82 / $16,394.00	Facility		$1,322.84	$1,383.82	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,066.64 / $3,040.08 / $3,505.28	Professional		$2,066.64	$3,040.08	$3,505.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.44 / $434.05 / $672.02	Facility		$280.44	$434.05	$672.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.22 / $478.40 / $1,076.38	Professional		$302.22	$478.40	$1,076.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $932.44 / $932.44 / $1,367.62	Professional		$932.44	$932.44	$1,367.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $346.19 / $554.51	Professional		$110.57	$346.19	$554.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,218.00 / $10,979.00	Facility		$2,230.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.92 / $491.52 / $1,356.91	Professional		$332.92	$491.52	$1,356.91