Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.84 / $6,695.00 / $17,809.00	Facility		$1,669.84	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.04 / $315.07 / $1,517.80	Professional		$279.04	$315.07	$1,517.80
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 $303.38 / $462.12 / $881.89	Professional		$303.38	$462.12	$881.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,373.15	Facility		$66.00	$100.00	$7,373.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $212.57 / $320.14 / $792.16	Professional		$212.57	$320.14	$792.16
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 $287.48 / $379.59 / $1,151.02	Professional		$287.48	$379.59	$1,151.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.55 / $315.06 / $443.69	Professional		$234.55	$315.06	$443.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.55 / $367.94 / $647.57	Professional		$283.55	$367.94	$647.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,055.35 / $9,388.90 / $26,542.00	Facility		$1,055.35	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,088.23 / $2,135.52 / $2,376.38	Professional		$2,088.23	$2,135.52	$2,376.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.42 / $393.56 / $539.70	Facility		$311.42	$393.56	$539.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.48 / $379.59 / $815.19	Professional		$287.48	$379.59	$815.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $941.76 / $941.76 / $941.76	Professional		$941.76	$941.76	$941.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.55 / $349.71 / $443.68	Professional		$234.55	$349.71	$443.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $16,148.00	Facility		$3,610.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $359.05 / $964.80	Professional		$241.08	$359.05	$964.80