Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.03 / $5,576.00 / $17,054.00	Facility		$967.03	$5,576.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.43 / $755.94 / $2,400.30	Professional		$179.43	$755.94	$2,400.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.21 / $742.78 / $2,248.12	Professional		$192.21	$742.78	$2,248.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,121.41	Facility		$66.00	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $554.70 / $1,353.10	Professional		$207.26	$554.70	$1,353.10
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 $191.33 / $709.55 / $2,166.51	Professional		$191.33	$709.55	$2,166.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $238.41 / $1,151.83	Professional		$153.76	$238.41	$1,151.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.11 / $691.16 / $1,373.00	Professional		$199.11	$691.16	$1,373.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $969.24 / $1,259.58 / $16,394.00	Facility		$969.24	$1,259.58	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,777.18 / $8,265.00 / $8,512.95	Professional		$2,777.18	$8,265.00	$8,512.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.49 / $371.10 / $1,531.82	Facility		$203.49	$371.10	$1,531.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.78 / $739.99 / $2,138.62	Professional		$192.78	$739.99	$2,138.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $661.64 / $661.64 / $2,567.05	Professional		$661.64	$661.64	$2,567.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $230.64 / $1,067.18	Professional		$153.76	$230.64	$1,067.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.98 / $1,021.78 / $2,540.40	Professional		$586.98	$1,021.78	$2,540.40