Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $4,932.00 / $16,713.00	Facility		$411.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $295.62 / $1,247.00	Professional		$189.00	$295.62	$1,247.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.02 / $342.24 / $749.82	Professional		$208.02	$342.24	$749.82
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 $180.29 / $257.55 / $627.94	Professional		$180.29	$257.55	$627.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $273.33 / $643.96	Facility		$231.28	$273.33	$643.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.48 / $318.73 / $799.48	Professional		$204.48	$318.73	$799.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $219.66 / $381.48	Professional		$86.00	$219.66	$381.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.86 / $301.52 / $532.11	Professional		$191.86	$301.52	$532.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,259.33 / $1,288.32	Facility		$55.00	$1,259.33	$1,288.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.16 / $1,995.04 / $2,313.83	Professional		$1,334.16	$1,995.04	$2,313.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.44 / $278.12 / $454.50	Facility		$184.44	$278.12	$454.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.27 / $339.36 / $748.73	Professional		$205.27	$339.36	$748.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $628.84 / $628.84 / $958.22	Professional		$628.84	$628.84	$958.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $151.84 / $385.50	Professional		$86.00	$151.84	$385.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $4,038.00 / $9,131.00	Facility		$1,800.00	$4,038.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.32 / $327.60 / $983.32	Professional		$229.32	$327.60	$983.32