Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,665.00 / $21,347.94	Facility		$873.00	$9,665.00	$21,347.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.12 / $200.67 / $1,024.44	Professional		$177.12	$200.67	$1,024.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,744.00 / $4,505.00 / $9,119.00	Facility		$1,744.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $314.75 / $604.04	Professional		$219.62	$314.75	$604.04
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 $159.27 / $246.86 / $602.01	Professional		$159.27	$246.86	$602.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.02 / $243.48 / $573.61	Facility		$206.02	$243.48	$573.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $256.38 / $741.47	Professional		$198.16	$256.38	$741.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $207.18 / $248.62	Professional		$149.97	$207.18	$248.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.23 / $248.62 / $451.65	Professional		$190.23	$248.62	$451.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $461.36 / $1,300.00	Facility		$55.00	$461.36	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,745.03	Professional		$1,500.00	$1,500.00	$1,745.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.67 / $260.02 / $387.60	Facility		$200.67	$260.02	$387.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $257.20 / $552.08	Professional		$198.16	$257.20	$552.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $635.64 / $635.64 / $635.64	Professional		$635.64	$635.64	$635.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $209.98 / $254.97	Professional		$149.97	$209.98	$254.97
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $243.88 / $679.79	Professional		$169.48	$243.88	$679.79