Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.10 / $5,815.00 / $17,133.00	Facility		$248.10	$5,815.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $191.84 / $969.00	Professional		$146.86	$191.84	$969.00
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 $197.86 / $272.30 / $547.90	Professional		$197.86	$272.30	$547.90
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 $137.84 / $202.83 / $486.79	Professional		$137.84	$202.83	$486.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.62 / $228.91 / $517.03	Professional		$166.62	$228.91	$517.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $240.58 / $359.09	Professional		$162.13	$240.58	$359.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.89 / $257.64 / $447.93	Professional		$175.89	$257.64	$447.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $815.92 / $869.49 / $16,394.00	Facility		$815.92	$869.49	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,741.00 / $2,741.00 / $2,741.00	Professional		$2,741.00	$2,741.00	$2,741.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.98 / $259.14 / $400.52	Facility		$192.98	$259.14	$400.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $244.96 / $555.51	Professional		$168.78	$244.96	$555.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $546.63 / $546.63 / $678.87	Professional		$546.63	$546.63	$678.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $222.55 / $306.79	Professional		$162.13	$222.55	$306.79
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 $151.01 / $239.90 / $836.61	Professional		$151.01	$239.90	$836.61