Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,545.00 / $17,054.00	Facility		$1,017.00	$5,545.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $51.65 / $206.00	Professional		$44.55	$51.65	$206.00
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 $58.75 / $79.84 / $148.05	Professional		$58.75	$79.84	$148.05
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 $38.40 / $50.68 / $121.77	Professional		$38.40	$50.68	$121.77
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 $46.50 / $62.54 / $198.00	Professional		$46.50	$62.54	$198.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $74.48 / $130.72	Professional		$55.18	$74.48	$130.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $63.18 / $112.56	Professional		$48.68	$63.18	$112.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.16 / $9,496.40 / $12,000.00	Facility		$178.16	$9,496.40	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $550.76 / $550.76 / $550.76	Professional		$550.76	$550.76	$550.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.51 / $62.78 / $89.07	Facility		$49.51	$62.78	$89.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $64.23 / $143.01	Professional		$47.37	$64.23	$143.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $153.97 / $153.97	Professional		$153.97	$153.97	$153.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $61.24 / $148.16	Professional		$49.24	$61.24	$148.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $16,148.00	Facility		$3,610.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $55.46 / $159.72	Professional		$38.08	$55.46	$159.72