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 $138.15 / $161.05 / $708.80	Professional		$138.15	$161.05	$708.80
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 $199.57 / $280.02 / $509.93	Professional		$199.57	$280.02	$509.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,595.49	Facility		$66.00	$100.00	$8,595.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $184.81 / $395.58	Professional		$120.42	$184.81	$395.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,530.34 / $5,530.34 / $6,535.86	Facility		$5,530.34	$5,530.34	$6,535.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $175.09 / $449.76	Professional		$138.36	$175.09	$449.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $169.63 / $6,137.77	Professional		$141.36	$169.63	$6,137.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $161.30 / $301.81	Professional		$127.22	$161.30	$301.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $889.21 / $24,830.35 / $26,542.00	Facility		$889.21	$24,830.35	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.99 / $1,698.99 / $1,698.99	Professional		$1,698.99	$1,698.99	$1,698.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.15 / $199.29 / $317.39	Facility		$138.15	$199.29	$317.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $175.09 / $394.35	Professional		$140.30	$175.09	$394.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $439.79 / $439.79 / $439.79	Professional		$439.79	$439.79	$439.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $131.58 / $156.55	Professional		$113.86	$131.58	$156.55
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $32,191.00	Facility		$7,696.00	$13,784.00	$32,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $169.82 / $396.14	Professional		$116.93	$169.82	$396.14