Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $5,002.00 / $17,013.00	Facility		$927.00	$5,002.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $86.69 / $298.00	Professional		$58.61	$86.69	$298.00
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 $78.89 / $99.56 / $196.59	Professional		$78.89	$99.56	$196.59
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 $70.87 / $93.07 / $207.37	Professional		$70.87	$93.07	$207.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.63 / $555.02 / $1,307.57	Facility		$469.63	$555.02	$1,307.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $90.23 / $246.12	Professional		$61.28	$90.23	$246.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $130.68 / $247.19	Professional		$63.00	$130.68	$247.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $72.86 / $131.56	Professional		$56.43	$72.86	$131.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $2,108.55 / $12,000.00	Facility		$368.93	$2,108.55	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.15 / $1,794.00 / $1,853.20	Professional		$1,087.15	$1,794.00	$1,853.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.26 / $87.55 / $155.04	Facility		$64.26	$87.55	$155.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $92.32 / $188.59	Professional		$63.05	$92.32	$188.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $183.15 / $183.15 / $183.15	Professional		$183.15	$183.15	$183.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $146.36 / $235.22	Professional		$69.91	$146.36	$235.22
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 $47.27 / $76.61 / $189.82	Professional		$47.27	$76.61	$189.82