Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,848.00 / $16,125.00	Facility		$873.00	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $748.79 / $3,739.00	Professional		$80.08	$748.79	$3,739.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,456.00	Facility		$2,137.00	$5,863.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.57 / $1,022.58 / $2,148.71	Professional		$106.57	$1,022.58	$2,148.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $350.18 / $1,515.00	Professional		$89.47	$350.18	$1,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $804.19 / $2,102.07	Professional		$96.85	$804.19	$2,102.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $106.32 / $827.81	Professional		$77.44	$106.32	$827.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $532.66 / $1,065.22	Professional		$88.45	$532.66	$1,065.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $938.02 / $938.02	Facility		$55.00	$938.02	$938.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.21 / $4,057.92 / $4,763.39	Professional		$2,095.21	$4,057.92	$4,763.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.57 / $486.65 / $1,043.02	Facility		$97.57	$486.65	$1,043.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $830.53 / $1,967.75	Professional		$101.03	$830.53	$1,967.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $299.81 / $299.81 / $2,485.32	Professional		$299.81	$299.81	$2,485.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $107.33 / $836.96	Professional		$77.44	$107.33	$836.96
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.67 / $904.18 / $2,641.77	Professional		$602.67	$904.18	$2,641.77