Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.27 / $4,950.00 / $16,125.00	Facility		$437.27	$4,950.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $278.51 / $680.15	Professional		$129.63	$278.51	$680.15
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 $176.95 / $385.49 / $745.39	Professional		$176.95	$385.49	$745.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $319.89 / $654.99	Professional		$151.61	$319.89	$654.99
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 $148.19 / $319.89 / $703.07	Professional		$148.19	$319.89	$703.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $253.76 / $442.07	Professional		$142.69	$253.76	$442.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $280.99 / $491.73	Professional		$130.27	$280.99	$491.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.85 / $1,063.30 / $16,394.00	Facility		$1,035.85	$1,063.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.00 / $1,978.72 / $2,276.78	Professional		$1,272.00	$1,978.72	$2,276.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.79 / $297.68 / $493.50	Facility		$151.79	$297.68	$493.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.82 / $335.42 / $685.68	Professional		$150.82	$335.42	$685.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $433.80 / $433.80 / $895.43	Professional		$433.80	$433.80	$895.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.46 / $292.69 / $380.64	Professional		$158.46	$292.69	$380.64
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 $229.80 / $350.63 / $992.06	Professional		$229.80	$350.63	$992.06