Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,382.00 / $17,054.00	Facility		$1,208.95	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.83 / $274.95 / $1,548.63	Professional		$253.83	$274.95	$1,548.63
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 $283.45 / $409.50 / $845.19	Professional		$283.45	$409.50	$845.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $313.39 / $760.24	Professional		$198.81	$313.39	$760.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.46 / $981.46 / $2,312.23	Facility		$830.46	$981.46	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.14 / $375.00 / $1,059.32	Professional		$271.14	$375.00	$1,059.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $160.57 / $504.02	Professional		$106.11	$160.57	$504.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.32 / $410.69 / $730.73	Professional		$314.32	$410.69	$730.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $618.00 / $3,728.65	Facility		$618.00	$618.00	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,207.67 / $2,284.08 / $2,583.90	Professional		$2,207.67	$2,284.08	$2,583.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.47 / $377.18 / $541.36	Facility		$279.47	$377.18	$541.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.01 / $412.49 / $869.96	Professional		$279.01	$412.49	$869.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $960.89 / $960.89 / $960.89	Professional		$960.89	$960.89	$960.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $152.79 / $414.78	Professional		$106.11	$152.79	$414.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,038.00 / $9,131.00	Facility		$1,943.00	$4,038.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.91 / $341.24 / $917.90	Professional		$224.91	$341.24	$917.90