Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,679.00 / $17,054.00	Facility		$1,208.95	$5,679.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $228.12 / $1,082.40	Professional		$193.20	$228.12	$1,082.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.29 / $308.39 / $592.92	Professional		$235.29	$308.39	$592.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,809.99	Facility		$66.00	$100.00	$5,809.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $236.33 / $573.94	Professional		$149.93	$236.33	$573.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.15 / $271.63 / $814.75	Professional		$196.15	$271.63	$814.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $254.84 / $344.03	Professional		$84.51	$254.84	$344.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.88 / $280.32 / $503.84	Professional		$212.88	$280.32	$503.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.40 / $7,909.30 / $12,000.00	Facility		$1,139.40	$7,909.30	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,880.00 / $1,880.00 / $1,880.00	Professional		$1,880.00	$1,880.00	$1,880.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.88 / $273.89 / $398.09	Facility		$212.88	$273.89	$398.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.84 / $282.43 / $611.16	Professional		$198.84	$282.43	$611.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $671.61 / $671.61 / $671.61	Professional		$671.61	$671.61	$671.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $149.21 / $283.14	Professional		$84.51	$149.21	$283.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $243.54 / $755.92	Professional		$162.40	$243.54	$755.92