Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,640.00 / $17,809.00	Facility		$1,587.51	$6,640.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.39 / $308.67 / $870.44	Professional		$293.39	$308.67	$870.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $449.72 / $879.64	Professional		$346.55	$449.72	$879.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,015.73	Facility		$66.00	$100.00	$8,015.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $206.49 / $319.02 / $781.07	Professional		$206.49	$319.02	$781.07
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 $296.04 / $397.29 / $1,193.20	Professional		$296.04	$397.29	$1,193.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $337.01 / $454.96	Professional		$168.65	$337.01	$454.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.43 / $389.15 / $694.02	Professional		$300.43	$389.15	$694.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,377.55 / $9,388.90 / $26,542.00	Facility		$1,377.55	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,178.80 / $2,227.44 / $2,490.23	Professional		$2,178.80	$2,227.44	$2,490.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.67 / $386.87 / $556.60	Facility		$308.67	$386.87	$556.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $397.29 / $851.57	Professional		$297.83	$397.29	$851.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $979.19 / $979.19 / $979.19	Professional		$979.19	$979.19	$979.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $286.70 / $374.17	Professional		$168.65	$286.70	$374.17
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 $241.92 / $362.88 / $960.53	Professional		$241.92	$362.88	$960.53