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 $112.21 / $125.79 / $636.94	Professional		$112.21	$125.79	$636.94
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 $135.49 / $187.54 / $358.53	Professional		$135.49	$187.54	$358.53
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 $104.41 / $162.55 / $391.43	Professional		$104.41	$162.55	$391.43
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 $122.65 / $164.21 / $509.68	Professional		$122.65	$164.21	$509.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $127.19 / $141.47 / $222.20	Professional		$127.19	$141.47	$222.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $148.22 / $265.64	Professional		$114.47	$148.22	$265.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $637.44 / $2,000.00 / $12,000.00	Facility		$637.44	$2,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,131.01 / $1,131.01 / $1,131.01	Professional		$1,131.01	$1,131.01	$1,131.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.79 / $168.86 / $276.05	Facility		$125.79	$168.86	$276.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $164.37 / $364.66	Professional		$126.48	$164.37	$364.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $395.21 / $395.21 / $395.21	Professional		$395.21	$395.21	$395.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $178.41 / $267.62	Professional		$115.88	$178.41	$267.62
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $6,920.00	Facility		$545.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $147.72 / $386.97	Professional		$99.68	$147.72	$386.97