Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.54 / $5,505.00 / $16,713.00	Facility		$534.54	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.83 / $308.17 / $1,310.00	Professional		$160.83	$308.17	$1,310.00
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 $188.49 / $356.82 / $762.13	Professional		$188.49	$356.82	$762.13
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 $161.51 / $298.64 / $596.40	Professional		$161.51	$298.64	$596.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.91 / $285.89 / $673.54	Facility		$241.91	$285.89	$673.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.19 / $324.30 / $822.85	Professional		$170.19	$324.30	$822.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $210.05 / $416.22	Professional		$175.04	$210.05	$416.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $316.26 / $567.57	Professional		$159.63	$316.26	$567.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $742.48 / $778.38	Facility		$55.00	$742.48	$778.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,164.00 / $2,206.23 / $2,602.65	Professional		$2,164.00	$2,206.23	$2,602.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.26 / $307.12 / $526.27	Facility		$185.26	$307.12	$526.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $342.90 / $808.25	Professional		$174.72	$342.90	$808.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $521.55 / $521.55 / $1,016.85	Professional		$521.55	$521.55	$1,016.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.58 / $209.41 / $420.35	Professional		$149.58	$209.41	$420.35
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 $237.06 / $343.01 / $1,033.74	Professional		$237.06	$343.01	$1,033.74