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 $171.74 / $287.25 / $903.62	Professional		$171.74	$287.25	$903.62
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 $183.13 / $301.67 / $700.94	Professional		$183.13	$301.67	$700.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $219.68 / $510.86	Professional		$153.78	$219.68	$510.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.90 / $296.52 / $698.58	Facility		$250.90	$296.52	$698.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.94 / $294.26 / $744.21	Professional		$178.94	$294.26	$744.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $209.05 / $364.25	Professional		$58.08	$209.05	$364.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.66 / $285.64 / $496.71	Professional		$177.66	$285.64	$496.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,136.58 / $1,179.66	Facility		$55.00	$1,136.58	$1,179.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.83 / $1,830.48 / $2,143.28	Professional		$1,195.83	$1,830.48	$2,143.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.21 / $251.00 / $422.00	Facility		$144.21	$251.00	$422.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.94 / $315.10 / $709.82	Professional		$178.94	$315.10	$709.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $560.67 / $878.05	Professional		$560.67	$560.67	$878.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $102.54 / $368.19	Professional		$58.08	$102.54	$368.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $292.48 / $889.27	Professional		$207.76	$292.48	$889.27