Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.83 / $4,056.00 / $16,125.00	Facility		$256.83	$4,056.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $232.06 / $623.19	Professional		$90.67	$232.06	$623.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.99 / $178.61 / $437.66	Professional		$111.99	$178.61	$437.66
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 $112.35 / $226.13 / $447.90	Professional		$112.35	$226.13	$447.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.14 / $104.17 / $245.40	Facility		$88.14	$104.17	$245.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $248.15 / $814.75	Professional		$105.09	$248.15	$814.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $125.39 / $487.40	Professional		$100.79	$125.39	$487.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $323.01 / $628.08	Professional		$105.41	$323.01	$628.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $720.06 / $734.52 / $12,000.00	Facility		$720.06	$734.52	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.98 / $2,470.80 / $2,925.08	Professional		$1,310.98	$2,470.80	$2,925.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $233.75 / $531.71	Facility		$121.85	$233.75	$531.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.77 / $257.75 / $851.20	Professional		$106.77	$257.75	$851.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $340.29 / $340.29 / $1,130.09	Professional		$340.29	$340.29	$1,130.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $132.40 / $492.49	Professional		$91.92	$132.40	$492.49
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,495.00 / $6,323.00	Facility		$421.00	$1,495.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $366.31 / $1,177.35	Professional		$213.86	$366.31	$1,177.35