Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.23 / $6,695.00 / $17,902.00	Facility		$1,475.23	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.45 / $249.11 / $1,315.37	Professional		$220.45	$249.11	$1,315.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $394.00 / $754.82	Professional		$299.52	$394.00	$754.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.73 / $294.64 / $721.45	Professional		$190.73	$294.64	$721.45
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 $247.83 / $330.13 / $972.23	Professional		$247.83	$330.13	$972.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $287.08 / $387.57 / $836.10	Professional		$287.08	$387.57	$836.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.11 / $330.41 / $581.53	Professional		$255.11	$330.41	$581.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,637.65 / $9,496.40	Facility		$55.00	$1,637.65	$9,496.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,806.88 / $2,806.88 / $2,806.88	Professional		$2,806.88	$2,806.88	$2,806.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $343.63 / $561.04	Facility		$264.33	$343.63	$561.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.83 / $339.24 / $713.43	Professional		$247.83	$339.24	$713.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $816.15 / $816.15 / $816.15	Professional		$816.15	$816.15	$816.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.86 / $318.63 / $947.58	Professional		$257.86	$318.63	$947.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $300.06 / $738.89	Professional		$199.52	$300.06	$738.89