Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,603.61 / $6,229.00 / $17,380.00	Facility		$1,603.61	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $302.02 / $1,459.34	Professional		$265.26	$302.02	$1,459.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.42 / $442.59 / $831.82	Professional		$288.42	$442.59	$831.82
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 $203.69 / $306.66 / $758.83	Professional		$203.69	$306.66	$758.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $363.39 / $1,106.26	Professional		$275.38	$363.39	$1,106.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $301.62 / $429.60	Professional		$227.10	$301.62	$429.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $352.39 / $620.20	Professional		$271.45	$352.39	$620.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,011.12 / $14,302.50 / $16,394.00	Facility		$1,011.12	$14,302.50	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,001.68 / $2,046.48 / $2,275.88	Professional		$2,001.68	$2,046.48	$2,275.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.73 / $377.66 / $531.39	Facility		$295.73	$377.66	$531.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $363.39 / $782.85	Professional		$275.38	$363.39	$782.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $905.50 / $905.50 / $905.50	Professional		$905.50	$905.50	$905.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $334.80 / $429.59	Professional		$227.10	$334.80	$429.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.13 / $353.76 / $982.12	Professional		$232.13	$353.76	$982.12