Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,679.00 / $16,713.00	Facility		$550.00	$5,679.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.59 / $350.37 / $1,268.00	Professional		$210.59	$350.37	$1,268.00
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 $288.30 / $442.87 / $933.77	Professional		$288.30	$442.87	$933.77
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 $232.76 / $359.62 / $756.68	Professional		$232.76	$359.62	$756.68
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 $238.63 / $385.22 / $926.04	Professional		$238.63	$385.22	$926.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.30 / $316.91 / $534.09	Professional		$251.30	$316.91	$534.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.30 / $363.08 / $643.51	Professional		$229.30	$363.08	$643.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,817.69 / $1,859.62 / $16,394.00	Facility		$1,817.69	$1,859.62	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,098.00 / $2,459.19 / $2,883.00	Professional		$2,098.00	$2,459.19	$2,883.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.01 / $403.85 / $592.94	Facility		$267.01	$403.85	$592.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.72 / $407.95 / $907.48	Professional		$242.72	$407.95	$907.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $734.53 / $734.53 / $1,113.21	Professional		$734.53	$734.53	$1,113.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.30 / $331.88 / $456.34	Professional		$251.30	$331.88	$456.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,218.00 / $10,979.00	Facility		$2,230.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $405.44 / $1,142.32	Professional		$274.64	$405.44	$1,142.32