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 $65.27 / $76.26 / $357.91	Professional		$65.27	$76.26	$357.91
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 $74.77 / $101.34 / $219.91	Professional		$74.77	$101.34	$219.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $81.43 / $185.80	Professional		$58.58	$81.43	$185.80
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 $67.05 / $91.76 / $321.08	Professional		$67.05	$91.76	$321.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $93.82 / $177.47	Professional		$78.65	$93.82	$177.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $90.41 / $159.13	Professional		$69.68	$90.41	$159.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $267.20 / $5,444.45	Facility		$55.00	$267.20	$5,444.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,301.89 / $1,344.85	Professional		$1,028.19	$1,301.89	$1,344.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $89.98 / $210.46	Facility		$52.50	$89.98	$210.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $91.99 / $205.60	Professional		$68.09	$91.99	$205.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $222.08 / $222.08 / $222.08	Professional		$222.08	$222.08	$222.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $105.08 / $168.88	Professional		$75.06	$105.08	$168.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $85.40 / $238.15	Professional		$56.55	$85.40	$238.15