Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $4,941.00 / $16,713.00	Facility		$411.00	$4,941.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $149.49 / $635.00	Professional		$117.40	$149.49	$635.00
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 $127.76 / $193.03 / $398.58	Professional		$127.76	$193.03	$398.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $143.66 / $355.67	Professional		$100.00	$143.66	$355.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.77 / $188.82 / $444.84	Facility		$159.77	$188.82	$444.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $182.60 / $459.33	Professional		$122.08	$182.60	$459.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $177.06 / $262.38	Professional		$80.06	$177.06	$262.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $214.68 / $366.84	Professional		$137.24	$214.68	$366.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $632.48 / $9,102.00 / $11,500.00	Facility		$632.48	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $968.64 / $1,371.84 / $1,610.63	Professional		$968.64	$1,371.84	$1,610.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $193.08 / $297.00	Facility		$135.00	$193.08	$297.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $192.18 / $459.33	Professional		$123.62	$192.18	$459.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $411.51 / $411.51 / $542.54	Professional		$411.51	$411.51	$542.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $178.77 / $265.07	Professional		$80.06	$178.77	$265.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.88 / $182.91 / $496.44	Professional		$113.88	$182.91	$496.44