Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,562.97 / $6,229.00 / $17,380.00	Facility		$1,562.97	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.40 / $297.33 / $1,401.32	Professional		$255.40	$297.33	$1,401.32
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 $308.07 / $426.44 / $830.48	Professional		$308.07	$426.44	$830.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $192.93 / $298.04 / $729.79	Professional		$192.93	$298.04	$729.79
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 $264.66 / $353.64 / $1,059.35	Professional		$264.66	$353.64	$1,059.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $329.21 / $563.40	Professional		$297.83	$329.21	$563.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $345.51 / $616.20	Professional		$266.70	$345.51	$616.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,467.36 / $9,388.90 / $16,394.00	Facility		$1,467.36	$9,388.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,135.00 / $3,135.00 / $3,135.00	Professional		$3,135.00	$3,135.00	$3,135.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $372.15 / $603.42	Facility		$276.41	$372.15	$603.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.86 / $353.64 / $755.52	Professional		$272.86	$353.64	$755.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $869.48 / $869.48 / $869.48	Professional		$869.48	$869.48	$869.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $271.86 / $375.60 / $563.40	Professional		$271.86	$375.60	$563.40
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 $214.76 / $314.47 / $936.78	Professional		$214.76	$314.47	$936.78