Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.45 / $5,303.00 / $16,713.00	Facility		$519.45	$5,303.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.19 / $449.90 / $1,363.62	Professional		$281.19	$449.90	$1,363.62
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 $312.39 / $506.56 / $1,170.56	Professional		$312.39	$506.56	$1,170.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,121.41	Facility		$66.00	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $273.48 / $434.99 / $907.38	Professional		$273.48	$434.99	$907.38
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 $286.94 / $496.85 / $1,185.33	Professional		$286.94	$496.85	$1,185.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $298.10 / $367.37 / $707.95	Professional		$298.10	$367.37	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $472.51 / $826.10	Professional		$271.70	$472.51	$826.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,323.07 / $1,424.08 / $16,394.00	Facility		$1,323.07	$1,424.08	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,314.00 / $3,769.05 / $4,922.22	Professional		$2,314.00	$3,769.05	$4,922.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.37 / $483.11 / $842.28	Facility		$316.37	$483.11	$842.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.67 / $533.04 / $1,173.14	Professional		$289.67	$533.04	$1,173.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $891.48 / $891.48 / $1,537.04	Professional		$891.48	$891.48	$1,537.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $440.06 / $605.08	Professional		$272.55	$440.06	$605.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.84 / $581.34 / $1,547.03	Professional		$371.84	$581.34	$1,547.03