Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,679.00 / $17,030.00	Facility		$462.00	$5,679.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $205.56 / $893.90	Professional		$120.16	$205.56	$893.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,814.00 / $10,536.00	Facility		$1,787.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $255.39 / $563.74	Professional		$163.30	$255.39	$563.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $220.38 / $453.22	Professional		$132.38	$220.38	$453.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.30 / $2,404.17 / $5,664.01	Facility		$2,034.30	$2,404.17	$5,664.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $228.77 / $539.87	Professional		$135.53	$228.77	$539.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $161.97 / $345.97	Professional		$80.42	$161.97	$345.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $228.54 / $399.56	Professional		$132.53	$228.54	$399.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,032.08 / $1,058.75 / $16,394.00	Facility		$1,032.08	$1,058.75	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.00 / $1,991.24 / $1,991.24	Professional		$1,799.00	$1,991.24	$1,991.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $235.36 / $368.97	Facility		$141.00	$235.36	$368.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.15 / $240.18 / $536.22	Professional		$136.15	$240.18	$536.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $415.25 / $415.25 / $694.15	Professional		$415.25	$415.25	$694.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $144.75 / $295.70	Professional		$101.41	$144.75	$295.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.57 / $239.60 / $698.70	Professional		$165.57	$239.60	$698.70