Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.89 / $4,749.00 / $16,109.00	Facility		$364.89	$4,749.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.16 / $407.43 / $1,864.59	Professional		$301.16	$407.43	$1,864.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.10 / $472.06 / $949.83	Professional		$340.10	$472.06	$949.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,177.85	Facility		$66.00	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $254.80 / $364.00 / $856.89	Professional		$254.80	$364.00	$856.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.41 / $391.08 / $705.31	Facility		$293.41	$391.08	$705.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.41 / $444.74 / $969.76	Professional		$329.41	$444.74	$969.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $163.44 / $468.08 / $597.21	Professional		$163.44	$468.08	$597.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.42 / $468.86 / $887.57	Professional		$355.42	$468.86	$887.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,527.14 / $2,594.16	Facility		$55.00	$2,527.14	$2,594.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,684.80 / $2,896.64 / $3,206.70	Professional		$2,684.80	$2,896.64	$3,206.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.47 / $470.96 / $638.47	Facility		$327.47	$470.96	$638.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.70 / $484.60 / $1,014.60	Professional		$329.70	$484.60	$1,014.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,213.82 / $1,213.82 / $1,273.93	Professional		$1,213.82	$1,213.82	$1,273.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.47 / $357.56 / $491.65	Professional		$212.47	$357.56	$491.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $296.19 / $383.60 / $1,055.69	Professional		$296.19	$383.60	$1,055.69