Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.65 / $6,184.50 / $17,013.00	Facility		$1,431.65	$6,184.50	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.27 / $259.95 / $1,160.00	Professional		$214.27	$259.95	$1,160.00
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 $302.06 / $418.80 / $764.41	Professional		$302.06	$418.80	$764.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,344.10	Facility		$66.00	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $184.11 / $278.67 / $690.21	Professional		$184.11	$278.67	$690.21
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 $250.48 / $328.20 / $977.70	Professional		$250.48	$328.20	$977.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $221.15 / $278.88 / $418.32	Professional		$221.15	$278.88	$418.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.41 / $320.64 / $574.13	Professional		$248.41	$320.64	$574.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,601.18 / $9,133.70 / $16,394.00	Facility		$1,601.18	$9,133.70	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,788.71 / $2,788.71 / $2,788.71	Professional		$2,788.71	$2,788.71	$2,788.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.52 / $344.03 / $576.40	Facility		$256.52	$344.03	$576.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.48 / $328.78 / $695.44	Professional		$250.48	$328.78	$695.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $799.93 / $799.93 / $799.93	Professional		$799.93	$799.93	$799.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $221.15 / $306.86 / $418.32	Professional		$221.15	$306.86	$418.32
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 $202.66 / $286.25 / $788.25	Professional		$202.66	$286.25	$788.25