Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $161.91 / $928.87	Professional		$136.88	$161.91	$928.87
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 $153.69 / $222.03 / $440.61	Professional		$153.69	$222.03	$440.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,305.65	Facility		$66.00	$100.00	$5,305.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $168.00 / $408.46	Professional		$116.00	$168.00	$408.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.46 / $981.46 / $2,312.23	Facility		$830.46	$981.46	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $205.61 / $471.15	Professional		$148.90	$205.61	$471.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $194.27 / $277.74	Professional		$67.76	$194.27	$277.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.74 / $231.45 / $388.68	Professional		$164.74	$231.45	$388.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,102.38 / $1,125.59 / $12,000.00	Facility		$1,102.38	$1,125.59	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.80 / $1,356.83 / $1,585.95	Professional		$1,160.80	$1,356.83	$1,585.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.30 / $210.01 / $310.05	Facility		$139.30	$210.01	$310.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $221.34 / $458.53	Professional		$150.22	$221.34	$458.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $501.81 / $501.81 / $576.35	Professional		$501.81	$501.81	$576.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $119.63 / $257.16	Professional		$67.76	$119.63	$257.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $208.80 / $609.46	Professional		$134.72	$208.80	$609.46