Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $275.93 / $1,261.43	Professional		$98.75	$275.93	$1,261.43
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 $133.38 / $324.87 / $702.88	Professional		$133.38	$324.87	$702.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $288.39 / $608.88	Professional		$122.85	$288.39	$608.88
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 $113.94 / $288.00 / $746.69	Professional		$113.94	$288.00	$746.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $280.56 / $428.28	Professional		$115.01	$280.56	$428.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $279.56 / $528.04	Professional		$104.84	$279.56	$528.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.95 / $858.20 / $12,000.00	Facility		$831.95	$858.20	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.76 / $2,134.04 / $2,337.53	Professional		$1,043.76	$2,134.04	$2,337.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.62 / $187.29 / $484.20	Facility		$89.62	$187.29	$484.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $290.79 / $713.66	Professional		$115.00	$290.79	$713.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $347.68 / $347.68 / $913.90	Professional		$347.68	$347.68	$913.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $303.74 / $420.85	Professional		$127.74	$303.74	$420.85
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,495.00 / $6,323.00	Facility		$545.00	$1,495.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $333.69 / $947.78	Professional		$221.02	$333.69	$947.78