Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.68 / $5,576.00 / $17,030.00	Facility		$250.68	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $229.44 / $955.27	Professional		$136.55	$229.44	$955.27
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 $187.86 / $297.08 / $621.72	Professional		$187.86	$297.08	$621.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.26 / $257.54 / $529.41	Professional		$152.26	$257.54	$529.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.66 / $311.60 / $734.10	Facility		$263.66	$311.60	$734.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.52 / $269.10 / $744.28	Professional		$150.52	$269.10	$744.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $191.56 / $370.72	Professional		$150.66	$191.56	$370.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $277.92 / $503.06	Professional		$135.60	$277.92	$503.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,064.98 / $1,087.73 / $16,394.00	Facility		$1,064.98	$1,087.73	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,098.00 / $2,323.10 / $2,323.10	Professional		$2,098.00	$2,323.10	$2,323.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.57 / $283.48 / $474.81	Facility		$158.57	$283.48	$474.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $279.79 / $717.93	Professional		$152.55	$279.79	$717.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $430.46 / $430.46 / $924.54	Professional		$430.46	$430.46	$924.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $212.66 / $374.54	Professional		$151.90	$212.66	$374.54
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $6,920.00	Facility		$545.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.18 / $309.27 / $972.28	Professional		$206.18	$309.27	$972.28