Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,229.00 / $17,380.00	Facility		$1,174.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $190.32 / $1,009.45	Professional		$179.16	$190.32	$1,009.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.79 / $313.29 / $593.91	Professional		$232.79	$313.29	$593.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,620.13	Facility		$66.00	$100.00	$5,620.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $218.84 / $540.91	Professional		$144.27	$218.84	$540.91
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 $191.36 / $252.78 / $767.11	Professional		$191.36	$252.78	$767.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $260.61 / $492.98	Professional		$218.52	$260.61	$492.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.64 / $252.83 / $444.97	Professional		$195.64	$252.83	$444.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,259.30 / $9,133.70 / $12,000.00	Facility		$1,259.30	$9,133.70	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.06 / $3,317.06 / $3,317.06	Professional		$3,317.06	$3,317.06	$3,317.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.26 / $262.94 / $450.46	Facility		$202.26	$262.94	$450.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.95 / $258.11 / $543.59	Professional		$191.95	$258.11	$543.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $626.34 / $626.34 / $626.34	Professional		$626.34	$626.34	$626.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.43 / $328.65 / $492.98	Professional		$198.43	$328.65	$492.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $16,148.00	Facility		$3,610.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.40 / $221.91 / $614.63	Professional		$155.40	$221.91	$614.63