Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,815.00 / $16,573.00	Facility		$490.00	$5,815.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $300.61 / $1,093.93	Professional		$203.78	$300.61	$1,093.93
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 $224.00 / $337.35 / $712.27	Professional		$224.00	$337.35	$712.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $233.16 / $344.88 / $823.15	Professional		$233.16	$344.88	$823.15
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 $204.59 / $312.39 / $724.09	Professional		$204.59	$312.39	$724.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $276.00 / $398.06	Professional		$188.38	$276.00	$398.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.17 / $289.08 / $520.54	Professional		$203.17	$289.08	$520.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $941.36 / $1,003.20 / $16,394.00	Facility		$941.36	$1,003.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,467.60 / $1,863.68 / $2,149.94	Professional		$1,467.60	$1,863.68	$2,149.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.19 / $289.33 / $443.99	Facility		$189.19	$289.33	$443.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.88 / $327.01 / $686.45	Professional		$205.88	$327.01	$686.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $652.91 / $652.91 / $850.07	Professional		$652.91	$652.91	$850.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $255.40 / $340.15	Professional		$188.38	$255.40	$340.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,163.00 / $16,148.00	Facility		$3,842.00	$7,163.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.57 / $317.77 / $855.54	Professional		$212.57	$317.77	$855.54