Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $4,749.00 / $16,109.00	Facility		$411.00	$4,749.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $221.53 / $874.82	Professional		$128.11	$221.53	$874.82
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 $139.05 / $204.31 / $449.17	Professional		$139.05	$204.31	$449.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $219.79 / $470.67	Professional		$128.46	$219.79	$470.67
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 $140.59 / $254.54 / $627.23	Professional		$140.59	$254.54	$627.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $189.76 / $338.98	Professional		$57.33	$189.76	$338.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $246.69 / $423.92	Professional		$157.66	$246.69	$423.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,029.83 / $1,080.42 / $12,000.00	Facility		$1,029.83	$1,080.42	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.96 / $1,562.88 / $1,838.25	Professional		$1,080.96	$1,562.88	$1,838.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $224.06 / $371.15	Facility		$99.41	$224.06	$371.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.26 / $268.35 / $595.71	Professional		$141.26	$268.35	$595.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $478.83 / $478.83 / $728.87	Professional		$478.83	$478.83	$728.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $101.22 / $314.05	Professional		$57.33	$101.22	$314.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.04 / $252.26 / $696.35	Professional		$173.04	$252.26	$696.35