Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,576.00 / $17,030.00	Facility		$462.00	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.18 / $314.16 / $1,024.24	Professional		$207.18	$314.16	$1,024.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.82 / $345.13 / $809.45	Professional		$220.82	$345.13	$809.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $293.24 / $640.29	Professional		$195.66	$293.24	$640.29
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 $205.56 / $339.97 / $843.32	Professional		$205.56	$339.97	$843.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $258.16 / $465.10	Professional		$172.37	$258.16	$465.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.65 / $348.51 / $604.29	Professional		$195.65	$348.51	$604.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $905.04 / $954.09 / $16,394.00	Facility		$905.04	$954.09	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.00 / $2,452.58 / $2,788.65	Professional		$1,578.00	$2,452.58	$2,788.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.59 / $344.86 / $534.90	Facility		$214.59	$344.86	$534.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.42 / $364.34 / $849.80	Professional		$208.42	$364.34	$849.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $635.51 / $635.51 / $1,071.89	Professional		$635.51	$635.51	$1,071.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.63 / $241.32 / $447.58	Professional		$173.63	$241.32	$447.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $4,038.00 / $9,131.00	Facility		$1,800.00	$4,038.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.56 / $388.89 / $1,023.89	Professional		$259.56	$388.89	$1,023.89