Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.15 / $6,880.00 / $17,809.00	Facility		$1,306.15	$6,880.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.65 / $258.11 / $1,196.64	Professional		$228.65	$258.11	$1,196.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $6,986.00 / $13,707.00	Facility		$2,629.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.83 / $453.45 / $819.83	Professional		$319.83	$453.45	$819.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,114.52	Facility		$66.00	$100.00	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $313.02 / $663.80	Professional		$202.97	$313.02	$663.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,006.98 / $2,371.89	Facility		$2,006.98	$2,006.98	$2,371.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.38 / $310.07 / $767.02	Professional		$250.38	$310.07	$767.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $250.50 / $2,227.42	Professional		$122.49	$250.50	$2,227.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.92 / $279.06 / $520.87	Professional		$224.92	$279.06	$520.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.56 / $9,011.04 / $26,542.00	Facility		$870.56	$9,011.04	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.28 / $1,688.72 / $2,010.45	Professional		$1,649.28	$1,688.72	$2,010.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.55 / $307.79 / $429.97	Facility		$232.55	$307.79	$429.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.38 / $310.07 / $677.35	Professional		$250.38	$310.07	$677.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $742.48 / $742.48 / $742.48	Professional		$742.48	$742.48	$742.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $201.87 / $277.57	Professional		$122.49	$201.87	$277.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,753.00 / $7,940.00	Facility		$1,198.00	$2,753.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $293.58 / $629.46	Professional		$196.33	$293.58	$629.46