Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.61 / $4,702.00 / $16,125.00	Facility		$409.61	$4,702.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $133.56 / $630.47	Professional		$78.84	$133.56	$630.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $133.51 / $289.42	Professional		$88.37	$133.51	$289.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $147.82 / $304.27	Professional		$90.69	$147.82	$304.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.00 / $3,092.00 / $7,108.00	Facility		$340.00	$3,092.00	$7,108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $140.08 / $333.06	Professional		$84.17	$140.08	$333.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $88.57 / $150.41	Professional		$57.26	$88.57	$150.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $122.57 / $225.15	Professional		$79.70	$122.57	$225.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $366.35 / $9,102.00 / $11,500.00	Facility		$366.35	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $559.52 / $829.12 / $1,018.73	Professional		$559.52	$829.12	$1,018.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.61 / $133.21 / $218.78	Facility		$90.61	$133.21	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $145.43 / $310.88	Professional		$85.28	$145.43	$310.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $254.14 / $254.14 / $391.18	Professional		$254.14	$254.14	$391.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $82.45 / $151.68	Professional		$57.26	$82.45	$151.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $145.38 / $410.27	Professional		$100.63	$145.38	$410.27