Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,390.00 / $17,054.00	Facility		$1,017.00	$5,390.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $92.86 / $414.44	Professional		$76.55	$92.86	$414.44
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 $82.03 / $118.51 / $230.94	Professional		$82.03	$118.51	$230.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $101.32 / $245.00	Professional		$75.14	$101.32	$245.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $109.27 / $347.24	Professional		$82.56	$109.27	$347.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $68.17 / $122.74	Professional		$45.05	$68.17	$122.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.17 / $102.92 / $185.45	Professional		$79.17	$102.92	$185.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $503.02 / $5,444.45 / $12,000.00	Facility		$503.02	$5,444.45	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $650.78 / $655.54 / $677.17	Professional		$650.78	$655.54	$677.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.44 / $110.16 / $159.37	Facility		$82.44	$110.16	$159.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $109.27 / $243.41	Professional		$82.71	$109.27	$243.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $257.14 / $257.14	Professional		$257.14	$257.14	$257.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $64.87 / $100.99	Professional		$45.05	$64.87	$100.99
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 $64.67 / $97.28 / $273.58	Professional		$64.67	$97.28	$273.58