Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $6,423.00 / $17,538.00	Facility		$129.58	$6,423.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.26 / $128.62 / $735.00	Professional		$104.26	$128.62	$735.00
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 $140.28 / $192.26 / $382.69	Professional		$140.28	$192.26	$382.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $127.72 / $317.51	Professional		$93.07	$127.72	$317.51
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 $117.61 / $162.41 / $381.22	Professional		$117.61	$162.41	$381.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $202.68 / $256.32	Professional		$150.38	$202.68	$256.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.61 / $187.99 / $315.00	Professional		$130.61	$187.99	$315.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $609.08 / $648.09 / $26,542.00	Facility		$609.08	$648.09	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $926.40 / $1,195.88 / $1,329.15	Professional		$926.40	$1,195.88	$1,329.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $184.50 / $257.62	Facility		$136.44	$184.50	$257.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $178.63 / $381.22	Professional		$118.76	$178.63	$381.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $400.73 / $400.73 / $474.06	Professional		$400.73	$400.73	$474.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $202.68 / $304.02	Professional		$136.62	$202.68	$304.02
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 $103.51 / $165.60 / $452.85	Professional		$103.51	$165.60	$452.85