Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,576.00 / $17,030.00	Facility		$462.00	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.39 / $206.78 / $1,062.00	Professional		$116.39	$206.78	$1,062.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $257.89 / $569.26	Professional		$155.78	$257.89	$569.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $224.54 / $461.77	Professional		$130.49	$224.54	$461.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.94 / $155.93 / $367.35	Facility		$131.94	$155.93	$367.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $230.30 / $536.95	Professional		$132.76	$230.30	$536.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $157.05 / $280.73	Professional		$83.02	$157.05	$280.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $224.04 / $396.64	Professional		$137.16	$224.04	$396.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,069.39 / $1,099.21 / $16,394.00	Facility		$1,069.39	$1,099.21	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.00 / $1,661.02 / $1,756.35	Professional		$1,499.00	$1,661.02	$1,756.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $226.65 / $360.87	Facility		$140.13	$226.65	$360.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.61 / $243.48 / $531.05	Professional		$134.61	$243.48	$531.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $427.00 / $427.00 / $697.48	Professional		$427.00	$427.00	$697.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $149.44 / $283.56	Professional		$104.70	$149.44	$283.56
United Facility/Professional Facility Modifier Low / Median / High Price $492.06 / $1,506.00 / $6,323.00	Facility		$492.06	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $235.56 / $679.30	Professional		$167.72	$235.56	$679.30