Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.99 / $4,848.00 / $16,109.00	Facility		$565.99	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.11 / $480.35 / $1,350.23	Professional		$302.11	$480.35	$1,350.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,785.00 / $10,404.00	Facility		$1,546.00	$4,785.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.94 / $771.10 / $1,327.40	Professional		$370.94	$771.10	$1,327.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,485.17	Facility		$66.00	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $389.14 / $559.92 / $1,147.05	Professional		$389.14	$559.92	$1,147.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.49 / $312.80 / $555.00	Facility		$229.49	$312.80	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $560.85 / $851.08	Professional		$298.30	$560.85	$851.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $356.25 / $463.13	Professional		$256.14	$356.25	$463.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.19 / $337.76 / $605.51	Professional		$243.19	$337.76	$605.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,020.97 / $2,077.67 / $12,000.00	Facility		$2,020.97	$2,077.67	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,160.00 / $3,170.12 / $3,643.79	Professional		$3,160.00	$3,170.12	$3,643.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.88 / $504.37 / $987.97	Facility		$305.88	$504.37	$987.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $566.79 / $843.13	Professional		$309.20	$566.79	$843.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $837.79 / $837.79 / $968.83	Professional		$837.79	$837.79	$968.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $264.69 / $334.18 / $484.52	Professional		$264.69	$334.18	$484.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,758.00 / $21,278.00	Facility		$4,331.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.24 / $383.19 / $864.80	Professional		$233.24	$383.19	$864.80