Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,848.00 / $16,713.00	Facility		$365.00	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $195.25 / $580.79	Professional		$126.62	$195.25	$580.79
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 $141.96 / $224.34 / $486.69	Professional		$141.96	$224.34	$486.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,349.65	Facility		$66.00	$100.00	$5,349.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $201.48 / $433.56	Professional		$118.49	$201.48	$433.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.41 / $1,464.75 / $3,450.83	Facility		$1,239.41	$1,464.75	$3,450.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.56 / $218.08 / $510.85	Professional		$135.56	$218.08	$510.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $170.83 / $291.01	Professional		$120.63	$170.83	$291.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.50 / $214.61 / $370.95	Professional		$137.50	$214.61	$370.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $621.08 / $670.84 / $12,000.00	Facility		$621.08	$670.84	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.00 / $1,651.80 / $1,728.01	Professional		$1,118.00	$1,651.80	$1,728.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.85 / $212.44 / $325.66	Facility		$137.85	$212.44	$325.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $234.60 / $499.64	Professional		$136.97	$234.60	$499.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.34 / $426.34 / $622.29	Professional		$426.34	$426.34	$622.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $172.48 / $269.49	Professional		$120.63	$172.48	$269.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,145.00 / $4,060.00 / $11,982.00	Facility		$2,145.00	$4,060.00	$11,982.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $227.55 / $638.57	Professional		$152.55	$227.55	$638.57