Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,382.00 / $17,054.00	Facility		$1,017.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $171.82 / $784.30	Professional		$142.57	$171.82	$784.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.98 / $230.10 / $466.49	Professional		$170.98	$230.10	$466.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $175.87 / $427.54	Professional		$113.03	$175.87	$427.54
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 $148.81 / $201.26 / $590.30	Professional		$148.81	$201.26	$590.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $189.55 / $292.26	Professional		$154.50	$189.55	$292.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $196.26 / $346.26	Professional		$150.97	$196.26	$346.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $570.24 / $5,444.45 / $12,000.00	Facility		$570.24	$5,444.45	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,466.09 / $2,142.87 / $2,213.59	Professional		$1,466.09	$2,142.87	$2,213.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.82 / $208.74 / $332.44	Facility		$158.82	$208.74	$332.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $201.26 / $425.23	Professional		$153.63	$201.26	$425.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $486.63 / $486.63 / $486.63	Professional		$486.63	$486.63	$486.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $194.84 / $292.26	Professional		$154.50	$194.84	$292.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $185.14 / $489.73	Professional		$123.25	$185.14	$489.73