Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.39 / $5,823.00 / $17,013.00	Facility		$509.39	$5,823.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $431.47 / $2,045.39	Professional		$165.41	$431.47	$2,045.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $427.98 / $1,023.13	Professional		$181.22	$427.98	$1,023.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,344.15	Facility		$66.00	$100.00	$5,344.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $350.75 / $725.02	Professional		$168.44	$350.75	$725.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.95 / $343.85 / $810.08	Facility		$290.95	$343.85	$810.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $422.80 / $1,103.51	Professional		$170.64	$422.80	$1,103.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $195.88 / $479.63	Professional		$109.83	$195.88	$479.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.66 / $359.70 / $651.12	Professional		$161.66	$359.70	$651.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $750.04 / $788.26	Facility		$55.00	$750.04	$788.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.00 / $1,413.36 / $3,466.41	Professional		$1,332.00	$1,413.36	$3,466.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.32 / $313.42 / $662.34	Facility		$139.32	$313.42	$662.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.99 / $427.97 / $1,048.82	Professional		$172.99	$427.97	$1,048.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $528.59 / $528.59 / $1,269.11	Professional		$528.59	$528.59	$1,269.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $164.74 / $484.58	Professional		$109.83	$164.74	$484.58
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 $304.08 / $507.96 / $1,334.72	Professional		$304.08	$507.96	$1,334.72