Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.32 / $6,695.00 / $17,902.00	Facility		$1,215.32	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.43 / $210.20 / $1,106.10	Professional		$190.43	$210.20	$1,106.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,270.00 / $16,106.00	Facility		$2,629.00	$7,270.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.60 / $398.54 / $744.69	Professional		$277.60	$398.54	$744.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,392.69	Facility		$66.00	$100.00	$8,392.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $261.14 / $565.10	Professional		$170.48	$261.14	$565.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,555.21 / $2,555.21 / $3,019.80	Facility		$2,555.21	$2,555.21	$3,019.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $258.42 / $705.58	Professional		$212.98	$258.42	$705.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.55 / $335.07 / $2,835.87	Professional		$210.55	$335.07	$2,835.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $233.45 / $438.03	Professional		$186.76	$233.45	$438.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.27 / $11,472.55 / $26,542.00	Facility		$1,222.27	$11,472.55	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,955.47 / $2,955.47 / $2,955.47	Professional		$2,955.47	$2,955.47	$2,955.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.27 / $279.68 / $516.87	Facility		$202.27	$279.68	$516.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.07 / $258.42 / $604.90	Professional		$212.07	$258.42	$604.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $686.31 / $686.31 / $686.31	Professional		$686.31	$686.31	$686.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $402.08 / $603.13	Professional		$192.85	$402.08	$603.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,759.00 / $23,219.00	Facility		$4,509.00	$9,759.00	$23,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $253.16 / $602.03	Professional		$177.19	$253.16	$602.03