Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.74 / $5,576.00 / $17,030.00	Facility		$497.74	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $416.31 / $1,839.35	Professional		$166.79	$416.31	$1,839.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.53 / $428.32 / $928.81	Professional		$183.53	$428.32	$928.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $171.53 / $352.33 / $728.04	Professional		$171.53	$352.33	$728.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.11 / $471.68 / $1,111.23	Facility		$399.11	$471.68	$1,111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.95 / $425.13 / $1,048.07	Professional		$170.95	$425.13	$1,048.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $200.68 / $497.56	Professional		$151.90	$200.68	$497.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.48 / $372.35 / $674.63	Professional		$165.48	$372.35	$674.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $763.96 / $806.31 / $16,394.00	Facility		$763.96	$806.31	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.85 / $2,833.94 / $3,031.80	Professional		$1,367.85	$2,833.94	$3,031.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.46 / $328.11 / $666.87	Facility		$192.46	$328.11	$666.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $429.48 / $1,023.32	Professional		$174.19	$429.48	$1,023.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $537.63 / $537.63 / $1,327.44	Professional		$537.63	$537.63	$1,327.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.28 / $202.51 / $502.73	Professional		$147.28	$202.51	$502.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.20 / $510.53 / $1,336.18	Professional		$316.20	$510.53	$1,336.18