Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.17 / $6,211.00 / $17,380.00	Facility		$1,264.17	$6,211.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.58 / $240.49 / $897.00	Professional		$202.58	$240.49	$897.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $317.17 / $617.22	Professional		$240.00	$317.17	$617.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,926.46	Facility		$66.00	$100.00	$6,926.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.26 / $234.53 / $572.16	Professional		$151.26	$234.53	$572.16
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 $214.04 / $286.66 / $846.89	Professional		$214.04	$286.66	$846.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $250.24 / $375.36	Professional		$198.44	$250.24	$375.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $281.52 / $500.00	Professional		$217.05	$281.52	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $794.84 / $5,444.45 / $16,394.00	Facility		$794.84	$5,444.45	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,806.23 / $2,710.26 / $2,799.69	Professional		$1,806.23	$2,710.26	$2,799.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.66 / $275.31 / $469.74	Facility		$207.66	$275.31	$469.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.01 / $286.66 / $608.98	Professional		$219.01	$286.66	$608.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $699.41 / $699.41 / $699.41	Professional		$699.41	$699.41	$699.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $271.80 / $375.37	Professional		$198.44	$271.80	$375.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $7,352.00 / $15,471.00	Facility		$3,087.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.04 / $259.56 / $681.03	Professional		$173.04	$259.56	$681.03