Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.37 / $4,932.00 / $16,713.00	Facility		$356.37	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $298.12 / $1,258.00	Professional		$220.65	$298.12	$1,258.00
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 $248.16 / $389.45 / $804.79	Professional		$248.16	$389.45	$804.79
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 $193.47 / $289.05 / $683.24	Professional		$193.47	$289.05	$683.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.46 / $981.46 / $2,312.23	Facility		$830.46	$981.46	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.56 / $343.18 / $814.75	Professional		$236.56	$343.18	$814.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $182.43 / $273.64 / $444.94	Professional		$182.43	$273.64	$444.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.82 / $310.20 / $541.10	Professional		$208.82	$310.20	$541.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,403.04 / $1,415.04 / $12,000.00	Facility		$1,403.04	$1,415.04	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.20 / $1,981.04 / $2,285.40	Professional		$1,487.20	$1,981.04	$2,285.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.23 / $312.24 / $471.36	Facility		$224.23	$312.24	$471.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.74 / $361.02 / $724.24	Professional		$240.74	$361.02	$724.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $704.89 / $704.89 / $944.12	Professional		$704.89	$704.89	$944.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.83 / $274.77 / $380.46	Professional		$199.83	$274.77	$380.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $330.46 / $989.38	Professional		$233.74	$330.46	$989.38