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 $96.69 / $203.38 / $962.64	Professional		$96.69	$203.38	$962.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $12,615.00	Facility		$2,143.00	$5,863.00	$12,615.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.72 / $262.08 / $498.67	Professional		$144.72	$262.08	$498.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,344.10	Facility		$66.00	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $159.59 / $331.69	Professional		$111.71	$159.59	$331.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.91 / $798.91 / $944.16	Facility		$798.91	$798.91	$944.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $206.08 / $474.97	Professional		$110.72	$206.08	$474.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $281.41 / $886.66	Professional		$112.96	$281.41	$886.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.51 / $237.26 / $392.85	Professional		$107.51	$237.26	$392.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $855.05 / $874.44 / $16,394.00	Facility		$855.05	$874.44	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $910.21 / $1,641.12 / $1,977.30	Professional		$910.21	$1,641.12	$1,977.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.44 / $206.19 / $351.76	Facility		$122.44	$206.19	$351.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $212.50 / $513.03	Professional		$111.17	$212.50	$513.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $350.99 / $350.99 / $810.21	Professional		$350.99	$350.99	$810.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $125.09 / $312.49	Professional		$102.35	$125.09	$312.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,753.00 / $11,305.00	Facility		$1,371.00	$2,753.00	$11,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $260.85 / $743.09	Professional		$178.00	$260.85	$743.09