Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.15 / $7,000.00 / $18,293.00	Facility		$191.15	$7,000.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $191.15 / $757.77	Professional		$80.44	$191.15	$757.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,994.00	Facility		$2,143.00	$5,931.00	$11,994.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $174.12 / $729.33	Professional		$81.50	$174.12	$729.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $1,308.29	Facility		$57.50	$100.00	$1,308.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $174.40 / $364.67	Professional		$77.06	$174.40	$364.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $216.24 / $1,097.61	Professional		$94.66	$216.24	$1,097.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $112.11 / $1,061.96	Professional		$79.34	$112.11	$1,061.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $623.15 / $1,168.03	Professional		$90.85	$623.15	$1,168.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $411.75 / $1,203.04 / $1,203.04	Facility		$411.75	$1,203.04	$1,203.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,472.52 / $4,646.85 / $5,571.38	Professional		$2,472.52	$4,646.85	$5,571.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $929.10	Professional		$32.34	$32.34	$929.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.23 / $157.76 / $922.87	Facility		$87.23	$157.76	$922.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $240.53 / $1,556.57	Professional		$99.74	$240.53	$1,556.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.81 / $302.81 / $1,694.91	Professional		$302.81	$302.81	$1,694.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $154.78 / $805.31	Professional		$82.33	$154.78	$805.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,059.00 / $5,978.00 / $20,279.00	Facility		$2,059.00	$5,978.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $470.57 / $1,301.64	Professional		$180.62	$470.57	$1,301.64