Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.25 / $6,505.00 / $17,393.00	Facility		$901.25	$6,505.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $321.16 / $987.09	Professional		$202.90	$321.16	$987.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.88 / $354.31 / $771.53	Professional		$224.88	$354.31	$771.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $306.08 / $655.64	Professional		$199.69	$306.08	$655.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,902.88 / $3,430.67 / $8,082.36	Facility		$2,902.88	$3,430.67	$8,082.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.84 / $338.10 / $816.53	Professional		$206.84	$338.10	$816.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $163.44 / $245.16 / $554.91	Professional		$163.44	$245.16	$554.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $359.08 / $645.41	Professional		$197.93	$359.08	$645.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $922.84 / $964.96 / $26,542.00	Facility		$922.84	$964.96	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,318.00 / $3,318.00 / $3,318.00	Professional		$3,318.00	$3,318.00	$3,318.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.45 / $359.08 / $560.50	Facility		$230.45	$359.08	$560.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.91 / $357.26 / $851.85	Professional		$208.91	$357.26	$851.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $650.66 / $650.66 / $1,130.32	Professional		$650.66	$650.66	$1,130.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $175.22 / $240.92 / $474.27	Professional		$175.22	$240.92	$474.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $22,073.00	Facility		$4,728.00	$9,758.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.83 / $400.98 / $1,180.38	Professional		$273.83	$400.98	$1,180.38