Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.52 / $5,308.00 / $17,030.00	Facility		$1,164.52	$5,308.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $318.39 / $1,152.00	Professional		$174.30	$318.39	$1,152.00
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 $231.27 / $303.11 / $582.79	Professional		$231.27	$303.11	$582.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,553.14	Facility		$66.00	$100.00	$5,553.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $219.09 / $533.11	Professional		$140.94	$219.09	$533.11
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 $182.70 / $255.03 / $696.66	Professional		$182.70	$255.03	$696.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $202.68 / $231.44 / $312.44	Professional		$202.68	$231.44	$312.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.34 / $265.26 / $466.86	Professional		$204.34	$265.26	$466.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $934.40 / $9,496.40 / $12,000.00	Facility		$934.40	$9,496.40	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,635.00 / $2,635.00 / $2,635.00	Professional		$2,635.00	$2,635.00	$2,635.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.68 / $265.26 / $400.03	Facility		$208.68	$265.26	$400.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.54 / $262.95 / $549.59	Professional		$191.54	$262.95	$549.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $642.21 / $642.21 / $642.21	Professional		$642.21	$642.21	$642.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $202.68 / $256.89 / $344.56	Professional		$202.68	$256.89	$344.56
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 $154.28 / $233.29 / $664.88	Professional		$154.28	$233.29	$664.88