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 $203.60 / $292.24 / $1,292.35	Professional		$203.60	$292.24	$1,292.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.26 / $403.69 / $850.97	Professional		$267.26	$403.69	$850.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,305.65	Facility		$66.00	$100.00	$5,305.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $305.64 / $731.47	Professional		$213.96	$305.64	$731.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $269.95 / $636.01	Facility		$228.43	$269.95	$636.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.56 / $360.43 / $843.46	Professional		$229.56	$360.43	$843.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $264.25 / $394.52	Professional		$93.45	$264.25	$394.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.72 / $316.14 / $552.92	Professional		$205.72	$316.14	$552.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,388.40 / $1,398.60	Facility		$55.00	$1,388.40	$1,398.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.00 / $2,089.60 / $2,410.58	Professional		$1,494.00	$2,089.60	$2,410.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.48 / $319.89 / $494.45	Facility		$217.48	$319.89	$494.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $375.83 / $761.93	Professional		$233.77	$375.83	$761.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $693.40 / $693.40 / $992.74	Professional		$693.40	$693.40	$992.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $200.34 / $398.65	Professional		$117.84	$200.34	$398.65
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 $246.21 / $359.74 / $1,039.22	Professional		$246.21	$359.74	$1,039.22