Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,390.00 / $17,054.00	Facility		$1,208.95	$5,390.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.57 / $217.72 / $914.99	Professional		$197.57	$217.72	$914.99
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 $243.15 / $315.54 / $622.04	Professional		$243.15	$315.54	$622.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,620.13	Facility		$66.00	$100.00	$5,620.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $234.43 / $572.35	Professional		$151.31	$234.43	$572.35
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 $208.60 / $281.06 / $837.06	Professional		$208.60	$281.06	$837.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $239.98 / $323.97	Professional		$126.58	$239.98	$323.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.41 / $275.80 / $494.43	Professional		$212.41	$275.80	$494.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.88 / $9,388.90 / $12,000.00	Facility		$776.88	$9,388.90	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.00 / $1,782.00 / $1,782.00	Professional		$1,782.00	$1,782.00	$1,782.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.32 / $286.13 / $401.39	Facility		$219.32	$286.13	$401.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.26 / $281.06 / $599.94	Professional		$214.26	$281.06	$599.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $688.17 / $688.17 / $688.17	Professional		$688.17	$688.17	$688.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $215.19 / $266.45	Professional		$126.58	$215.19	$266.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,155.00 / $7,034.00 / $14,636.00	Facility		$1,155.00	$7,034.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $258.77 / $692.52	Professional		$169.68	$258.77	$692.52