Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,382.00 / $17,054.00	Facility		$1,017.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $125.28 / $619.76	Professional		$110.69	$125.28	$619.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $174.01 / $336.56	Professional		$132.77	$174.01	$336.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.13 / $352.37	Professional		$100.00	$144.13	$352.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.11 / $471.68 / $1,111.23	Facility		$399.11	$471.68	$1,111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.82 / $154.31 / $471.49	Professional		$117.82	$154.31	$471.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $69.30 / $175.30	Professional		$45.79	$69.30	$175.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $149.56 / $263.23	Professional		$115.11	$149.56	$263.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $298.22 / $2,000.00 / $12,000.00	Facility		$298.22	$2,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $842.56 / $858.56 / $943.28	Professional		$842.56	$858.56	$943.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.53 / $147.86 / $210.24	Facility		$109.53	$147.86	$210.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.11 / $154.66 / $329.79	Professional		$119.11	$154.66	$329.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $384.54 / $384.54 / $384.54	Professional		$384.54	$384.54	$384.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $65.94 / $144.22	Professional		$45.79	$65.94	$144.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $144.47 / $377.22	Professional		$95.48	$144.47	$377.22