Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.58 / $5,980.00 / $16,713.00	Facility		$1,174.58	$5,980.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $241.71 / $957.58	Professional		$171.98	$241.71	$957.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.39 / $296.73 / $570.50	Professional		$226.39	$296.73	$570.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $205.32 / $496.33	Professional		$131.22	$205.32	$496.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.73 / $248.82 / $696.07	Professional		$181.73	$248.82	$696.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $137.82 / $235.98 / $318.57	Professional		$137.82	$235.98	$318.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $268.62 / $473.42	Professional		$206.63	$268.62	$473.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $753.36 / $9,496.40 / $12,000.00	Facility		$753.36	$9,496.40	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,466.88 / $1,514.32 / $1,725.45	Professional		$1,466.88	$1,514.32	$1,725.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.63 / $261.62 / $370.15	Facility		$206.63	$261.62	$370.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $266.39 / $558.84	Professional		$185.11	$266.39	$558.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $643.02 / $643.02 / $643.02	Professional		$643.02	$643.02	$643.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.82 / $209.85 / $261.95	Professional		$137.82	$209.85	$261.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,120.00 / $16,148.00	Facility		$3,698.00	$7,120.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.24 / $223.53 / $667.12	Professional		$153.24	$223.53	$667.12