Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $226.96 / $883.59	Professional		$173.40	$226.96	$883.59
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 $179.65 / $274.83 / $591.87	Professional		$179.65	$274.83	$591.87
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 $141.12 / $201.60 / $465.77	Professional		$141.12	$201.60	$465.77
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 $175.62 / $259.93 / $592.47	Professional		$175.62	$259.93	$592.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.69 / $248.33 / $359.13	Professional		$183.69	$248.33	$359.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.25 / $261.24 / $429.29	Professional		$178.25	$261.24	$429.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $810.44 / $888.20 / $12,000.00	Facility		$810.44	$888.20	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.00 / $2,321.00 / $2,321.00	Professional		$2,321.00	$2,321.00	$2,321.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.75 / $261.24 / $388.02	Facility		$185.75	$261.24	$388.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.12 / $273.45 / $588.52	Professional		$177.12	$273.45	$588.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $562.22 / $562.22 / $726.91	Professional		$562.22	$562.22	$726.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $183.69 / $229.89 / $306.99	Professional		$183.69	$229.89	$306.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,213.00 / $10,979.00	Facility		$2,212.00	$4,213.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.56 / $250.80 / $707.87	Professional		$175.56	$250.80	$707.87