Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.25 / $5,178.00 / $16,573.00	Facility		$1,158.25	$5,178.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $190.41 / $1,013.03	Professional		$158.68	$190.41	$1,013.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.53 / $235.41 / $7,303.00	Facility		$183.53	$235.41	$7,303.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.05 / $283.97 / $545.05	Professional		$187.05	$283.97	$545.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,770.07	Facility		$66.00	$100.00	$5,770.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $187.54 / $432.50	Professional		$129.25	$187.54	$432.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $2,256.40 / $3,075.60	Facility		$372.64	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.36 / $232.80 / $530.28	Professional		$174.36	$232.80	$530.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $225.80 / $2,225.11	Professional		$153.02	$225.80	$2,225.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $237.88 / $448.78	Professional		$181.43	$237.88	$448.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.83 / $11,500.00 / $12,000.00	Facility		$1,050.83	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.08 / $1,447.08 / $1,579.50	Professional		$1,447.08	$1,447.08	$1,579.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.59 / $247.59 / $380.00	Facility		$201.59	$247.59	$380.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.66 / $254.11 / $522.50	Professional		$175.66	$254.11	$522.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $628.54 / $628.54 / $628.54	Professional		$628.54	$628.54	$628.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $182.49 / $205.30 / $260.13	Professional		$182.49	$205.30	$260.13
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 $152.60 / $196.20 / $471.76	Professional		$152.60	$196.20	$471.76