Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $4,848.00 / $16,573.00	Facility		$375.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.03 / $235.82 / $878.82	Professional		$171.03	$235.82	$878.82
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 $170.76 / $272.51 / $614.74	Professional		$170.76	$272.51	$614.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $232.69 / $511.19	Professional		$147.66	$232.69	$511.19
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 $172.55 / $259.70 / $580.19	Professional		$172.55	$259.70	$580.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.09 / $236.36 / $367.06	Professional		$195.09	$236.36	$367.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $258.92 / $453.03	Professional		$172.06	$258.92	$453.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $852.34 / $12,000.00	Facility		$791.00	$852.34	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.92 / $1,954.35 / $2,757.97	Professional		$1,227.92	$1,954.35	$2,757.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.34 / $258.08 / $413.68	Facility		$149.34	$258.08	$413.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $276.68 / $578.76	Professional		$175.05	$276.68	$578.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $545.29 / $545.29 / $741.25	Professional		$545.29	$545.29	$741.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $246.02 / $344.43	Professional		$159.06	$246.02	$344.43
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 $180.04 / $259.19 / $746.09	Professional		$180.04	$259.19	$746.09