Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.98 / $7,000.00 / $17,701.00	Facility		$1,524.98	$7,000.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $285.48 / $1,395.50	Professional		$253.65	$285.48	$1,395.50
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 $309.27 / $406.59 / $802.40	Professional		$309.27	$406.59	$802.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,865.74	Facility		$66.00	$100.00	$9,865.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $207.33 / $315.83 / $774.93	Professional		$207.33	$315.83	$774.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.32 / $347.53 / $1,055.83	Professional		$265.32	$347.53	$1,055.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.61 / $284.04 / $383.45	Professional		$174.61	$284.04	$383.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.80 / $333.75 / $587.40	Professional		$255.80	$333.75	$587.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $963.84 / $9,388.90 / $26,542.00	Facility		$963.84	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,908.08 / $1,952.56 / $2,166.30	Professional		$1,908.08	$1,952.56	$2,166.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.19 / $343.45 / $507.66	Facility		$270.19	$343.45	$507.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.47 / $351.72 / $749.75	Professional		$265.47	$351.72	$749.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $865.88 / $865.88 / $865.88	Professional		$865.88	$865.88	$865.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.61 / $261.91 / $330.29	Professional		$174.61	$261.91	$330.29
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 $215.60 / $323.39 / $843.86	Professional		$215.60	$323.39	$843.86