Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $5,980.00 / $17,902.00	Facility		$621.00	$5,980.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $196.97 / $759.40	Professional		$165.41	$196.97	$759.40
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 $215.95 / $292.00 / $577.16	Professional		$215.95	$292.00	$577.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,100.20	Facility		$66.00	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $219.67 / $523.64	Professional		$148.28	$219.67	$523.64
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 $180.14 / $246.75 / $555.79	Professional		$180.14	$246.75	$555.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $137.82 / $239.20 / $385.92	Professional		$137.82	$239.20	$385.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.21 / $278.08 / $478.15	Professional		$191.21	$278.08	$478.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $886.28 / $944.40 / $16,394.00	Facility		$886.28	$944.40	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,108.00 / $2,108.00 / $2,108.00	Professional		$2,108.00	$2,108.00	$2,108.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.33 / $281.95 / $389.65	Facility		$210.33	$281.95	$389.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.39 / $264.24 / $595.85	Professional		$182.39	$264.24	$595.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $593.04 / $593.04 / $730.09	Professional		$593.04	$593.04	$730.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.82 / $198.46 / $329.70	Professional		$137.82	$198.46	$329.70
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 $167.17 / $261.58 / $761.00	Professional		$167.17	$261.58	$761.00