Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,679.00 / $17,030.00	Facility		$462.00	$5,679.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.90 / $154.38 / $836.85	Professional		$129.90	$154.38	$836.85
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 $154.06 / $227.52 / $511.68	Professional		$154.06	$227.52	$511.68
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 $112.61 / $164.98 / $396.77	Professional		$112.61	$164.98	$396.77
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 $136.52 / $200.20 / $485.71	Professional		$136.52	$200.20	$485.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $219.91 / $329.87	Professional		$172.06	$219.91	$329.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.49 / $226.22 / $393.93	Professional		$149.49	$226.22	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $693.16 / $741.62 / $16,394.00	Facility		$693.16	$741.62	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.00 / $1,882.25 / $1,882.25	Professional		$1,447.00	$1,882.25	$1,882.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.44 / $222.82 / $336.00	Facility		$164.44	$222.82	$336.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.36 / $208.26 / $485.71	Professional		$139.36	$208.26	$485.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $459.86 / $459.86 / $583.69	Professional		$459.86	$459.86	$583.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $219.91 / $329.86	Professional		$156.29	$219.91	$329.86
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 $126.36 / $203.20 / $609.96	Professional		$126.36	$203.20	$609.96