Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.58 / $7,368.00 / $20,686.00	Facility		$1,524.58	$7,368.00	$20,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $288.45 / $1,139.44	Professional		$261.36	$288.45	$1,139.44
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 $274.99 / $439.86 / $917.63	Professional		$274.99	$439.86	$917.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $206.04 / $298.86 / $721.68	Professional		$206.04	$298.86	$721.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $345.46 / $1,051.04	Professional		$261.89	$345.46	$1,051.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $287.98 / $381.24 / $721.16	Professional		$287.98	$381.24	$721.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.18 / $336.08 / $595.00	Professional		$259.18	$336.08	$595.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $963.24 / $5,444.45 / $26,542.00	Facility		$963.24	$5,444.45	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,594.00 / $2,807.58 / $2,900.23	Professional		$2,594.00	$2,807.58	$2,900.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.16 / $362.96 / $602.27	Facility		$280.16	$362.96	$602.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $345.46 / $743.18	Professional		$261.89	$345.46	$743.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $859.34 / $859.34 / $859.34	Professional		$859.34	$859.34	$859.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $480.77 / $721.15	Professional		$263.08	$480.77	$721.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.36 / $329.42 / $773.78	Professional		$213.36	$329.42	$773.78