Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $6,695.00 / $17,902.00	Facility		$1,169.00	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $145.52 / $682.81	Professional		$131.25	$145.52	$682.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,334.00 / $16,106.00	Facility		$2,629.00	$7,334.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $280.42 / $500.60	Professional		$194.25	$280.42	$500.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,551.81	Facility		$66.00	$100.00	$8,551.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $177.35 / $381.12	Professional		$115.51	$177.35	$381.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.95 / $3,801.95 / $4,493.21	Facility		$3,801.95	$3,801.95	$4,493.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.29 / $170.55 / $431.92	Professional		$138.29	$170.55	$431.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $223.38 / $4,219.54	Professional		$134.91	$223.38	$4,219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.43 / $156.25 / $290.56	Professional		$121.43	$156.25	$290.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $866.18 / $17,070.15 / $26,542.00	Facility		$866.18	$17,070.15	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.84 / $2,068.84 / $2,068.84	Professional		$2,068.84	$2,068.84	$2,068.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.03 / $195.63 / $316.04	Facility		$136.03	$195.63	$316.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.29 / $172.24 / $384.41	Professional		$138.29	$172.24	$384.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $423.66 / $423.66 / $423.66	Professional		$423.66	$423.66	$423.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $268.06 / $402.08	Professional		$126.82	$268.06	$402.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,722.00 / $32,191.00	Facility		$6,385.00	$13,722.00	$32,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $164.27 / $365.24	Professional		$113.68	$164.27	$365.24