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 $71.17 / $77.39 / $390.58	Professional		$71.17	$77.39	$390.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $114.41 / $228.24	Professional		$78.25	$114.41	$228.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,577.91	Facility		$66.00	$100.00	$5,577.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $83.24 / $199.16	Professional		$59.47	$83.24	$199.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.35 / $1,794.42 / $4,227.49	Facility		$1,518.35	$1,794.42	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $99.46 / $304.12	Professional		$74.30	$99.46	$304.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.75 / $118.76 / $224.66	Professional		$83.75	$118.76	$224.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $96.83 / $173.67	Professional		$74.81	$96.83	$173.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $339.97 / $6,817.20 / $12,000.00	Facility		$339.97	$6,817.20	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.59 / $1,656.28 / $1,710.93	Professional		$1,064.59	$1,656.28	$1,710.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $101.44 / $175.16	Facility		$74.81	$101.44	$175.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $100.03 / $215.55	Professional		$74.81	$100.03	$215.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $242.35 / $242.35 / $242.35	Professional		$242.35	$242.35	$242.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $133.02 / $213.77	Professional		$92.98	$133.02	$213.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $89.46 / $249.09	Professional		$61.78	$89.46	$249.09