Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $6,423.00 / $17,701.00	Facility		$530.00	$6,423.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.37 / $241.31 / $825.99	Professional		$197.37	$241.31	$825.99
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 $244.04 / $327.48 / $658.64	Professional		$244.04	$327.48	$658.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $235.22 / $566.54	Professional		$159.24	$235.22	$566.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.41 / $1,464.75 / $3,450.83	Facility		$1,239.41	$1,464.75	$3,450.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.45 / $285.55 / $668.90	Professional		$203.45	$285.55	$668.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $122.62 / $270.55 / $431.91	Professional		$122.62	$270.55	$431.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.86 / $312.13 / $535.09	Professional		$215.86	$312.13	$535.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,001.52 / $1,067.14 / $26,542.00	Facility		$1,001.52	$1,067.14	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,541.00 / $1,985.92 / $2,331.83	Professional		$1,541.00	$1,985.92	$2,331.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.66 / $307.77 / $489.71	Facility		$224.66	$307.77	$489.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.67 / $303.63 / $670.40	Professional		$206.67	$303.63	$670.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $675.57 / $675.57 / $829.44	Professional		$675.57	$675.57	$829.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.62 / $208.46 / $369.02	Professional		$122.62	$208.46	$369.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,213.00 / $10,979.00	Facility		$2,212.00	$4,213.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $293.13 / $833.44	Professional		$188.50	$293.13	$833.44