Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.40 / $5,505.00 / $16,573.00	Facility		$572.40	$5,505.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $327.04 / $1,250.50	Professional		$164.11	$327.04	$1,250.50
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 $188.53 / $377.44 / $823.96	Professional		$188.53	$377.44	$823.96
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 $172.87 / $329.27 / $637.49	Professional		$172.87	$329.27	$637.49
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 $178.97 / $353.23 / $964.01	Professional		$178.97	$353.23	$964.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $206.07 / $592.84	Professional		$137.38	$206.07	$592.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $376.93 / $681.87	Professional		$167.73	$376.93	$681.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $764.00 / $817.33 / $2,600.00	Facility		$764.00	$817.33	$2,600.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.67 / $2,634.40 / $3,074.63	Professional		$1,390.67	$2,634.40	$3,074.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.52 / $337.25 / $598.95	Facility		$187.52	$337.25	$598.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.86 / $381.99 / $964.01	Professional		$185.86	$381.99	$964.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $550.13 / $550.13 / $1,196.89	Professional		$550.13	$550.13	$1,196.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $204.03 / $506.80	Professional		$137.38	$204.03	$506.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,218.00 / $10,979.00	Facility		$2,150.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $422.31 / $1,147.44	Professional		$285.39	$422.31	$1,147.44