Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $17,030.00	Facility		$462.00	$5,505.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $146.19 / $709.00	Professional		$122.46	$146.19	$709.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.37 / $207.31 / $413.91	Professional		$154.37	$207.31	$413.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $106.55 / $156.82 / $375.20	Professional		$106.55	$156.82	$375.20
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 $129.31 / $181.48 / $428.55	Professional		$129.31	$181.48	$428.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $192.97 / $279.97	Professional		$97.79	$192.97	$279.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $214.00 / $359.19	Professional		$150.00	$214.00	$359.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $694.04 / $748.55 / $16,394.00	Facility		$694.04	$748.55	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.00 / $1,555.00 / $1,555.00	Professional		$1,555.00	$1,555.00	$1,555.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.56 / $200.93 / $282.75	Facility		$151.56	$200.93	$282.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $199.14 / $427.20	Professional		$131.97	$199.14	$427.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $448.71 / $448.71 / $524.45	Professional		$448.71	$448.71	$524.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $176.03 / $239.25	Professional		$97.79	$176.03	$239.25
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 $116.31 / $185.16 / $647.41	Professional		$116.31	$185.16	$647.41