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 $132.58 / $200.10 / $851.48	Professional		$132.58	$200.10	$851.48
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 $159.84 / $240.75 / $511.76	Professional		$159.84	$240.75	$511.76
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 $130.59 / $215.21 / $461.52	Professional		$130.59	$215.21	$461.52
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 $145.69 / $226.40 / $522.04	Professional		$145.69	$226.40	$522.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $179.51 / $291.11	Professional		$135.52	$179.51	$291.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $218.33 / $380.82	Professional		$143.41	$218.33	$380.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $661.64 / $709.37 / $16,394.00	Facility		$661.64	$709.37	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.32 / $1,675.65 / $1,995.45	Professional		$1,032.32	$1,675.65	$1,995.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $224.94 / $344.79	Facility		$146.88	$224.94	$344.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $237.42 / $510.97	Professional		$148.83	$237.42	$510.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $457.02 / $457.02 / $640.95	Professional		$457.02	$457.02	$640.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.79 / $181.21 / $269.54	Professional		$131.79	$181.21	$269.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $7,352.00 / $15,471.00	Facility		$3,087.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.40 / $230.12 / $668.24	Professional		$155.40	$230.12	$668.24