Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,576.00 / $17,030.00	Facility		$462.00	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.09 / $266.82 / $857.91	Professional		$155.09	$266.82	$857.91
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 $214.43 / $345.70 / $715.60	Professional		$214.43	$345.70	$715.60
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 $173.87 / $295.93 / $608.28	Professional		$173.87	$295.93	$608.28
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 $167.29 / $304.52 / $819.67	Professional		$167.29	$304.52	$819.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $379.87 / $512.82	Professional		$168.73	$379.87	$512.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $312.82 / $566.53	Professional		$151.86	$312.82	$566.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,189.93 / $1,219.11 / $16,394.00	Facility		$1,189.93	$1,219.11	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $2,654.97 / $2,654.97	Professional		$2,398.00	$2,654.97	$2,654.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.30 / $325.63 / $539.50	Facility		$177.30	$325.63	$539.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.92 / $315.20 / $798.48	Professional		$171.92	$315.20	$798.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $476.14 / $476.14 / $1,003.88	Professional		$476.14	$476.14	$1,003.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $187.29 / $422.16	Professional		$151.94	$187.29	$422.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,213.00 / $11,982.00	Facility		$2,230.00	$4,213.00	$11,982.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $352.60 / $1,008.87	Professional		$230.18	$352.60	$1,008.87