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 $37.65 / $40.77 / $200.84	Professional		$37.65	$40.77	$200.84
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 $43.66 / $59.28 / $112.43	Professional		$43.66	$59.28	$112.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $46.65 / $112.50	Professional		$34.19	$46.65	$112.50
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 $38.53 / $50.32 / $169.40	Professional		$38.53	$50.32	$169.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $40.29 / $54.39	Professional		$17.50	$40.29	$54.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $47.29 / $83.23	Professional		$36.26	$47.29	$83.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $136.16 / $5,444.45 / $12,000.00	Facility		$136.16	$5,444.45	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $518.44 / $914.31 / $914.31	Professional		$518.44	$914.31	$914.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.46 / $51.67 / $90.41	Facility		$40.46	$51.67	$90.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $50.47 / $115.69	Professional		$38.97	$50.47	$115.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $124.62 / $124.62 / $124.62	Professional		$124.62	$124.62	$124.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $30.89 / $44.73	Professional		$17.50	$30.89	$44.73
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 $31.08 / $48.67 / $148.56	Professional		$31.08	$48.67	$148.56