Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.32 / $6,423.00 / $17,538.00	Facility		$245.32	$6,423.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $224.81 / $1,150.93	Professional		$114.04	$224.81	$1,150.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $262.02 / $671.92	Professional		$140.44	$262.02	$671.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,654.53	Facility		$66.00	$100.00	$12,654.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $185.51 / $439.19	Professional		$122.31	$185.51	$439.19
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 $146.83 / $286.79 / $786.99	Professional		$146.83	$286.79	$786.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.31 / $258.23 / $435.36	Professional		$162.31	$258.23	$435.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $277.23 / $493.00	Professional		$146.08	$277.23	$493.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $492.71 / $709.79 / $5,897.00	Facility		$492.71	$709.79	$5,897.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.00 / $2,056.57 / $2,275.94	Professional		$1,186.00	$2,056.57	$2,275.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $277.23 / $422.84	Facility		$150.00	$277.23	$422.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $307.00 / $729.58	Professional		$148.08	$307.00	$729.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $469.95 / $469.95 / $953.21	Professional		$469.95	$469.95	$953.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $180.11 / $279.75 / $387.34	Professional		$180.11	$279.75	$387.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.88 / $319.58 / $1,003.80	Professional		$204.88	$319.58	$1,003.80