Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,783.05 / $16,713.00	Facility		$1,919.00	$6,783.05	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $300.11 / $1,173.00	Professional		$242.28	$300.11	$1,173.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.47 / $405.90 / $852.76	Professional		$254.47	$405.90	$852.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $7,340.45	Facility		$66.70	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $191.55 / $277.47 / $670.72	Professional		$191.55	$277.47	$670.72
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 $243.41 / $324.75 / $977.22	Professional		$243.41	$324.75	$977.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $294.76 / $478.89	Professional		$253.16	$294.76	$478.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.16 / $312.61 / $561.05	Professional		$241.16	$312.61	$561.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,343.70 / $9,388.90 / $16,394.00	Facility		$1,343.70	$9,388.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,104.00 / $2,104.00 / $2,104.00	Professional		$2,104.00	$2,104.00	$2,104.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.29 / $335.51 / $545.34	Facility		$258.29	$335.51	$545.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $325.00 / $690.66	Professional		$243.41	$325.00	$690.66
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,577.00 / $4,577.00 / $4,577.00	Facility		$4,577.00	$4,577.00	$4,577.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $798.50 / $798.50 / $798.50	Professional		$798.50	$798.50	$798.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $216.32 / $297.44 / $455.70	Professional		$216.32	$297.44	$455.70
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 $204.40 / $297.99 / $780.17	Professional		$204.40	$297.99	$780.17