Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.00 / $6,357.00 / $17,133.00	Facility		$1,188.00	$6,357.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $137.25 / $688.49	Professional		$119.70	$137.25	$688.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,718.00 / $9,381.00	Facility		$1,787.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $213.46 / $408.24	Professional		$147.75	$213.46	$408.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $157.71 / $383.57	Professional		$101.99	$157.71	$383.57
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 $130.91 / $171.72 / $494.63	Professional		$130.91	$171.72	$494.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $143.34 / $193.51	Professional		$60.30	$143.34	$193.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $167.35 / $301.32	Professional		$129.01	$167.35	$301.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $482.36 / $9,496.40 / $16,394.00	Facility		$482.36	$9,496.40	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.90 / $1,068.90 / $1,099.58	Professional		$1,068.90	$1,068.90	$1,099.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.85 / $175.91 / $241.87	Facility		$134.85	$175.91	$241.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $172.26 / $370.98	Professional		$130.91	$172.26	$370.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $427.19 / $427.19 / $427.19	Professional		$427.19	$427.19	$427.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $108.54 / $159.01	Professional		$60.30	$108.54	$159.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $156.21 / $504.32	Professional		$106.68	$156.21	$504.32