Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,823.00 / $16,196.79	Facility		$462.00	$5,823.00	$16,196.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.90 / $275.95 / $1,030.00	Professional		$160.90	$275.95	$1,030.00
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 $172.10 / $302.30 / $713.30	Professional		$172.10	$302.30	$713.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,100.20	Facility		$66.00	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $256.31 / $527.62	Professional		$151.07	$256.31	$527.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $292.04 / $746.88	Professional		$159.44	$292.04	$746.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $166.35 / $294.86 / $485.97	Professional		$166.35	$294.86	$485.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $310.14 / $560.35	Professional		$151.18	$310.14	$560.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $699.64 / $736.49 / $16,394.00	Facility		$699.64	$736.49	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,402.00 / $2,544.21 / $2,544.21	Professional		$1,402.00	$2,544.21	$2,544.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.77 / $306.39 / $503.07	Facility		$168.77	$306.39	$503.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.31 / $311.26 / $773.28	Professional		$162.31	$311.26	$773.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $491.06 / $491.06 / $961.10	Professional		$491.06	$491.06	$961.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $184.66 / $353.83 / $520.58	Professional		$184.66	$353.83	$520.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $337.59 / $898.07	Professional		$231.28	$337.59	$898.07