Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,382.00 / $17,054.00	Facility		$1,017.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $97.84 / $447.10	Professional		$78.89	$97.84	$447.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $139.80 / $261.87	Professional		$103.92	$139.80	$261.87
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 $94.77 / $126.36 / $294.08	Professional		$94.77	$126.36	$294.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.21 / $236.61 / $557.42	Facility		$200.21	$236.61	$557.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $125.14 / $380.14	Professional		$90.36	$125.14	$380.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $95.78 / $143.66	Professional		$75.95	$95.78	$143.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $104.01 / $183.06	Professional		$80.37	$104.01	$183.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $442.74 / $2,000.00 / $12,000.00	Facility		$442.74	$2,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $675.29 / $703.28 / $726.48	Professional		$675.29	$703.28	$726.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.52 / $125.24 / $197.79	Facility		$91.52	$125.24	$197.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $127.63 / $277.05	Professional		$93.52	$127.63	$277.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $277.41 / $277.41 / $277.41	Professional		$277.41	$277.41	$277.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $99.64 / $143.66	Professional		$75.95	$99.64	$143.66
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,495.00 / $6,323.00	Facility		$421.00	$1,495.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $108.49 / $286.56	Professional		$70.45	$108.49	$286.56