Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.11 / $4,941.00 / $16,713.00	Facility		$358.11	$4,941.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $131.33 / $653.00	Professional		$59.71	$131.33	$653.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $146.41 / $328.06	Professional		$73.40	$146.41	$328.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $129.08 / $255.79	Professional		$68.23	$129.08	$255.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.77 / $1,057.45 / $2,491.26	Facility		$894.77	$1,057.45	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $153.25 / $404.13	Professional		$70.09	$153.25	$404.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $91.14 / $213.97	Professional		$71.36	$91.14	$213.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $149.72 / $267.47	Professional		$67.34	$149.72	$267.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $316.16 / $323.95 / $12,000.00	Facility		$316.16	$323.95	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $1,037.83 / $1,242.30	Professional		$680.00	$1,037.83	$1,242.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $124.69 / $234.58	Facility		$67.34	$124.69	$234.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $158.35 / $397.76	Professional		$70.13	$158.35	$397.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $222.20 / $222.20 / $505.91	Professional		$222.20	$222.20	$505.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $95.78 / $198.02	Professional		$60.76	$95.78	$198.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.56 / $171.59 / $509.32	Professional		$115.56	$171.59	$509.32