Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $8,756.00 / $22,330.11	Facility		$1,680.00	$8,756.00	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.39 / $183.39 / $866.67	Professional		$167.39	$183.39	$866.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,362.00 / $16,460.00	Facility		$2,675.00	$7,362.00	$16,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.16 / $333.69 / $613.64	Professional		$257.16	$333.69	$613.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,665.30	Facility		$66.00	$100.00	$20,665.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $218.39 / $472.66	Professional		$143.33	$218.39	$472.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,371.37 / $11,298.00 / $14,529.00	Facility		$9,371.37	$11,298.00	$14,529.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $215.86 / $551.65	Professional		$177.02	$215.86	$551.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $171.73 / $188.90 / $10,400.69	Professional		$171.73	$188.90	$10,400.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.56 / $196.78 / $365.82	Professional		$154.56	$196.78	$365.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $760.15 / $11,933.00 / $42,076.05	Facility		$760.15	$11,933.00	$42,076.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,340.19 / $3,340.19 / $3,340.19	Professional		$3,340.19	$3,340.19	$3,340.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.39 / $239.37 / $406.98	Facility		$167.39	$239.37	$406.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.77 / $214.38 / $484.47	Professional		$174.77	$214.38	$484.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $537.75 / $537.75 / $537.75	Professional		$537.75	$537.75	$537.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $221.13 / $331.70	Professional		$159.47	$221.13	$331.70
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,797.00 / $29,571.00	Facility		$7,696.00	$13,797.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $208.89 / $440.52	Professional		$143.63	$208.89	$440.52