Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $8,859.00 / $18,293.00	Facility		$1,169.00	$8,859.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.86 / $340.12 / $1,094.00	Professional		$196.86	$340.12	$1,094.00
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 $247.80 / $356.37 / $730.89	Professional		$247.80	$356.37	$730.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $256.26 / $638.95	Professional		$176.21	$256.26	$638.95
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 $207.73 / $277.74 / $627.35	Professional		$207.73	$277.74	$627.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $246.95 / $284.12 / $376.28	Professional		$246.95	$284.12	$376.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.33 / $301.50 / $508.99	Professional		$223.33	$301.50	$508.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.05 / $1,296.84 / $26,542.00	Facility		$1,250.05	$1,296.84	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.52 / $1,928.48 / $2,500.00	Professional		$1,557.52	$1,928.48	$2,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.31 / $303.27 / $435.91	Facility		$242.31	$303.27	$435.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.67 / $300.00 / $606.41	Professional		$213.67	$300.00	$606.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $691.99 / $691.99 / $760.51	Professional		$691.99	$691.99	$760.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $200.68 / $273.70 / $361.23	Professional		$200.68	$273.70	$361.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,867.00 / $7,218.00 / $16,173.00	Facility		$3,867.00	$7,218.00	$16,173.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $274.13 / $780.57	Professional		$189.70	$274.13	$780.57