Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.11 / $9,006.00 / $19,860.00	Facility		$1,624.11	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.65 / $333.03 / $1,163.88	Professional		$198.65	$333.03	$1,163.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.83 / $483.04 / $846.25	Professional		$338.83	$483.04	$846.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,981.41	Facility		$66.00	$100.00	$5,981.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $357.27 / $820.70	Professional		$232.40	$357.27	$820.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.22 / $1,313.26 / $3,093.92	Facility		$1,111.22	$1,313.26	$3,093.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $321.07 / $907.88	Professional		$206.17	$321.07	$907.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.31 / $240.14 / $418.32	Professional		$218.31	$240.14	$418.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $256.58 / $457.93	Professional		$196.48	$256.58	$457.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,121.09 / $4,989.20	Facility		$55.00	$1,121.09	$4,989.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,045.20 / $4,091.27 / $4,254.92	Professional		$4,045.20	$4,091.27	$4,254.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.93 / $310.31 / $595.10	Facility		$230.93	$310.31	$595.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $334.44 / $682.05	Professional		$208.25	$334.44	$682.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $656.90 / $656.90 / $656.90	Professional		$656.90	$656.90	$656.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.75 / $278.88 / $418.32	Professional		$199.75	$278.88	$418.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.51 / $269.68 / $723.03	Professional		$164.51	$269.68	$723.03