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 $136.01 / $154.63 / $690.00	Professional		$136.01	$154.63	$690.00
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 $163.62 / $225.87 / $447.73	Professional		$163.62	$225.87	$447.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.51 / $171.09 / $403.63	Professional		$114.51	$171.09	$403.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.01 / $193.17 / $440.70	Professional		$143.01	$193.17	$440.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $202.10 / $285.99	Professional		$75.50	$202.10	$285.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.35 / $221.09 / $375.20	Professional		$158.35	$221.09	$375.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $734.64 / $788.17 / $12,000.00	Facility		$734.64	$788.17	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.44 / $1,311.92 / $1,533.45	Professional		$1,123.44	$1,311.92	$1,533.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.56 / $203.20 / $293.97	Facility		$135.56	$203.20	$293.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $209.62 / $440.70	Professional		$144.86	$209.62	$440.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $484.02 / $484.02 / $541.72	Professional		$484.02	$484.02	$541.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $177.73 / $244.38	Professional		$75.50	$177.73	$244.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $193.52 / $564.19	Professional		$125.79	$193.52	$564.19