Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.30 / $7,954.00 / $18,483.00	Facility		$1,381.30	$7,954.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.30 / $261.45 / $1,253.96	Professional		$231.30	$261.45	$1,253.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,260.00 / $20,554.00	Facility		$2,822.00	$9,260.00	$20,554.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.74 / $379.01 / $721.46	Professional		$250.74	$379.01	$721.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,865.74	Facility		$66.00	$100.00	$9,865.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $264.55 / $653.73	Professional		$175.42	$264.55	$653.73
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 $237.24 / $313.25 / $950.15	Professional		$237.24	$313.25	$950.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $281.70 / $422.55	Professional		$223.38	$281.70	$422.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.13 / $304.64 / $536.17	Professional		$235.13	$304.64	$536.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $872.40 / $9,388.90 / $26,542.00	Facility		$872.40	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,725.92 / $1,761.36 / $1,965.38	Professional		$1,725.92	$1,761.36	$1,965.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.06 / $319.10 / $466.37	Facility		$254.06	$319.10	$466.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.24 / $313.25 / $672.04	Professional		$237.24	$313.25	$672.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $778.07 / $778.07 / $778.07	Professional		$778.07	$778.07	$778.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $290.00 / $422.55	Professional		$223.38	$290.00	$422.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,384.00 / $17,471.00	Facility		$3,459.00	$7,384.00	$17,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $297.25 / $782.95	Professional		$193.20	$297.25	$782.95