Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.35 / $4,749.00 / $16,109.00	Facility		$375.35	$4,749.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $358.95 / $957.58	Professional		$295.18	$358.95	$957.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.60 / $443.51 / $862.52	Professional		$313.60	$443.51	$862.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $246.44 / $352.05 / $771.19	Professional		$246.44	$352.05	$771.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.61 / $529.70 / $1,050.00	Facility		$388.61	$529.70	$1,050.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.45 / $442.58 / $964.27	Professional		$319.45	$442.58	$964.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $454.60 / $648.49	Professional		$297.83	$454.60	$648.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.55 / $478.79 / $842.42	Professional		$344.55	$478.79	$842.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,339.76 / $2,396.64	Facility		$55.00	$2,339.76	$2,396.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,483.44 / $3,144.32 / $3,607.95	Professional		$2,483.44	$3,144.32	$3,607.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.77 / $501.08 / $720.00	Facility		$373.77	$501.08	$720.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.42 / $483.91 / $1,018.02	Professional		$327.42	$483.91	$1,018.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,117.53 / $1,117.53 / $1,369.98	Professional		$1,117.53	$1,117.53	$1,369.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $360.63 / $459.33 / $600.77	Professional		$360.63	$459.33	$600.77
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 $309.41 / $409.85 / $938.86	Professional		$309.41	$409.85	$938.86