Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.07 / $5,750.40 / $16,210.00	Facility		$829.07	$5,750.40	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $236.74 / $632.61	Professional		$146.59	$236.74	$632.61
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 $200.47 / $309.07 / $677.16	Professional		$200.47	$309.07	$677.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,321.49	Facility		$66.00	$100.00	$5,321.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.09 / $268.92 / $553.54	Professional		$162.09	$268.92	$553.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $1,182.65 / $2,786.23	Facility		$1,000.71	$1,182.65	$2,786.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.64 / $278.83 / $681.98	Professional		$168.64	$278.83	$681.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $212.68 / $364.01	Professional		$168.65	$212.68	$364.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $266.54 / $481.48	Professional		$162.30	$266.54	$481.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,274.63 / $1,306.20 / $12,000.00	Facility		$1,274.63	$1,306.20	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.00 / $1,796.00 / $2,100.60	Professional		$1,319.00	$1,796.00	$2,100.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.93 / $274.70 / $402.18	Facility		$187.93	$274.70	$402.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $292.42 / $670.79	Professional		$173.03	$292.42	$670.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $514.42 / $514.42 / $825.79	Professional		$514.42	$514.42	$825.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $145.57 / $212.68 / $337.00	Professional		$145.57	$212.68	$337.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,038.00 / $9,131.00	Facility		$1,943.00	$4,038.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $280.69 / $863.38	Professional		$200.20	$280.69	$863.38