Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $6,229.00 / $17,054.00	Facility		$1,080.00	$6,229.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $170.62 / $729.00	Professional		$145.28	$170.62	$729.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.51 / $273.25 / $527.58	Professional		$189.51	$273.25	$527.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $176.07 / $434.12	Professional		$115.79	$176.07	$434.12
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 $157.55 / $206.35 / $621.07	Professional		$157.55	$206.35	$621.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.12 / $177.30 / $261.27	Professional		$138.12	$177.30	$261.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.12 / $204.61 / $369.91	Professional		$158.12	$204.61	$369.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.19 / $4,493.00 / $16,394.00	Facility		$1,016.19	$4,493.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,760.09 / $1,760.09 / $1,760.09	Professional		$1,760.09	$1,760.09	$1,760.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $216.17 / $362.48	Facility		$163.69	$216.17	$362.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.55 / $208.78 / $446.26	Professional		$157.55	$208.78	$446.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $503.82 / $503.82 / $503.82	Professional		$503.82	$503.82	$503.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.12 / $196.79 / $261.27	Professional		$138.12	$196.79	$261.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $187.11 / $554.58	Professional		$127.82	$187.11	$554.58