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 $127.50 / $208.59 / $732.51	Professional		$127.50	$208.59	$732.51
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 $129.07 / $215.10 / $499.83	Professional		$129.07	$215.10	$499.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $106.34 / $187.55 / $392.59	Professional		$106.34	$187.55	$392.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.77 / $1,057.45 / $2,491.26	Facility		$894.77	$1,057.45	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.36 / $219.15 / $539.04	Professional		$127.36	$219.15	$539.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $155.63 / $301.98	Professional		$92.70	$155.63	$301.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $218.80 / $377.78	Professional		$127.16	$218.80	$377.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $568.52 / $612.66 / $12,000.00	Facility		$568.52	$612.66	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $890.24 / $1,016.55 / $3,577.25	Professional		$890.24	$1,016.55	$3,577.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.72 / $198.40 / $329.81	Facility		$109.72	$198.40	$329.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $232.42 / $534.86	Professional		$129.38	$232.42	$534.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $400.66 / $400.66 / $661.53	Professional		$400.66	$400.66	$661.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $139.05 / $279.70	Professional		$92.70	$139.05	$279.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.56 / $242.01 / $731.37	Professional		$163.56	$242.01	$731.37