Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.12 / $4,848.00 / $16,713.00	Facility		$288.12	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $271.62 / $1,083.16	Professional		$120.13	$271.62	$1,083.16
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 $146.94 / $222.37 / $487.30	Professional		$146.94	$222.37	$487.30
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 $145.59 / $267.98 / $554.83	Professional		$145.59	$267.98	$554.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $185.32 / $436.61	Facility		$156.81	$185.32	$436.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $294.72 / $945.08	Professional		$138.78	$294.72	$945.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $156.18 / $525.77	Professional		$118.76	$156.18	$525.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $379.09 / $682.05	Professional		$130.94	$379.09	$682.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $894.84 / $922.56 / $12,000.00	Facility		$894.84	$922.56	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.78 / $2,692.08 / $3,181.88	Professional		$1,427.78	$2,692.08	$3,181.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.25 / $236.90 / $573.98	Facility		$139.25	$236.90	$573.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.46 / $313.95 / $941.35	Professional		$141.46	$313.95	$941.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $438.40 / $438.40 / $1,174.10	Professional		$438.40	$438.40	$1,174.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $157.47 / $531.21	Professional		$114.52	$157.47	$531.21
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,506.00 / $6,323.00	Facility		$421.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $362.34 / $1,079.18	Professional		$243.49	$362.34	$1,079.18