Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $5,815.00 / $17,726.47	Facility		$490.00	$5,815.00	$17,726.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $241.58 / $1,102.72	Professional		$189.88	$241.58	$1,102.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,718.00 / $9,381.00	Facility		$1,787.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $303.43 / $628.36	Professional		$215.17	$303.43	$628.36
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 $172.77 / $246.82 / $586.27	Professional		$172.77	$246.82	$586.27
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 $194.58 / $267.30 / $588.42	Professional		$194.58	$267.30	$588.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $155.99 / $235.33 / $323.38	Professional		$155.99	$235.33	$323.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $267.89 / $446.53	Professional		$191.36	$267.89	$446.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $884.12 / $939.98 / $16,394.00	Facility		$884.12	$939.98	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.80 / $1,942.50 / $2,234.44	Professional		$1,376.80	$1,942.50	$2,234.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.16 / $270.27 / $405.60	Facility		$191.16	$270.27	$405.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.79 / $279.04 / $574.55	Professional		$196.79	$279.04	$574.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $612.88 / $612.88 / $736.71	Professional		$612.88	$612.88	$736.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $155.99 / $224.63 / $299.23	Professional		$155.99	$224.63	$299.23
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 $184.28 / $279.83 / $787.77	Professional		$184.28	$279.83	$787.77