Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $268.74 / $1,236.19	Professional		$173.34	$268.74	$1,236.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.77 / $320.13 / $746.84	Professional		$193.77	$320.13	$746.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,455.40	Facility		$66.00	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $267.73 / $611.90	Professional		$174.22	$267.73	$611.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.35 / $1,794.42 / $4,227.49	Facility		$1,518.35	$1,794.42	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $319.79 / $789.56	Professional		$190.34	$319.79	$789.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $250.50 / $504.95	Professional		$93.82	$250.50	$504.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.32 / $365.32 / $647.24	Professional		$221.32	$365.32	$647.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.12 / $1,477.14 / $12,000.00	Facility		$1,449.12	$1,477.14	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.52 / $2,396.64 / $2,878.95	Professional		$1,511.52	$2,396.64	$2,878.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.36 / $304.01 / $525.99	Facility		$162.36	$304.01	$525.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $336.88 / $830.47	Professional		$190.34	$336.88	$830.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $666.97 / $666.97 / $1,086.52	Professional		$666.97	$666.97	$1,086.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $165.64 / $467.42	Professional		$93.82	$165.64	$467.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.81 / $376.00 / $1,146.42	Professional		$227.81	$376.00	$1,146.42