Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.11 / $5,829.00 / $17,013.00	Facility		$340.11	$5,829.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.87 / $301.98 / $1,157.30	Professional		$191.87	$301.98	$1,157.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.01 / $364.51 / $820.58	Professional		$241.01	$364.51	$820.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $195.58 / $301.04 / $665.47	Professional		$195.58	$301.04	$665.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,943.01 / $2,296.29 / $5,409.85	Facility		$1,943.01	$2,296.29	$5,409.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $361.19 / $833.83	Professional		$220.19	$361.19	$833.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $205.88 / $277.06 / $456.47	Professional		$205.88	$277.06	$456.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.60 / $341.88 / $589.60	Professional		$226.60	$341.88	$589.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,108.27 / $16,394.00	Facility		$1,040.08	$1,108.27	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,888.00 / $2,262.80 / $2,728.65	Professional		$1,888.00	$2,262.80	$2,728.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $348.82 / $550.29	Facility		$234.43	$348.82	$550.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.67 / $384.10 / $806.40	Professional		$223.67	$384.10	$806.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $718.08 / $718.08 / $1,099.16	Professional		$718.08	$718.08	$1,099.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $279.30 / $422.27	Professional		$203.13	$279.30	$422.27
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 $261.47 / $384.80 / $1,359.66	Professional		$261.47	$384.80	$1,359.66