Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,713.00	Facility		$344.00	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $160.53 / $320.08	Professional		$97.53	$160.53	$320.08
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 $109.91 / $187.31 / $374.69	Professional		$109.91	$187.31	$374.69
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 $96.74 / $181.04 / $354.51	Professional		$96.74	$181.04	$354.51
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 $89.35 / $159.82 / $389.93	Professional		$89.35	$159.82	$389.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $125.99 / $216.92	Professional		$90.66	$125.99	$216.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $143.40 / $250.29	Professional		$81.59	$143.40	$250.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $455.95 / $466.80 / $12,000.00	Facility		$455.95	$466.80	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,832.00 / $1,832.00 / $1,832.00	Professional		$1,832.00	$1,832.00	$1,832.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $153.86 / $269.70	Facility		$96.43	$153.86	$269.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $169.53 / $364.79	Professional		$92.44	$169.53	$364.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $258.98 / $258.98 / $438.10	Professional		$258.98	$258.98	$438.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $136.49 / $188.98	Professional		$100.67	$136.49	$188.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,731.00 / $7,940.00	Facility		$1,198.00	$2,731.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $174.35 / $437.96	Professional		$105.56	$174.35	$437.96