Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.06 / $4,848.00 / $16,109.00	Facility		$285.06	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $253.60 / $802.63	Professional		$117.95	$253.60	$802.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $196.40 / $558.26	Professional		$128.72	$196.40	$558.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,668.58	Facility		$66.00	$100.00	$1,668.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $261.43 / $502.65	Professional		$139.28	$261.43	$502.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.26 / $416.21 / $555.00	Facility		$312.26	$416.21	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $291.89 / $727.46	Professional		$135.50	$291.89	$727.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $157.03 / $211.99 / $450.06	Professional		$157.03	$211.99	$450.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.52 / $300.51 / $567.41	Professional		$133.52	$300.51	$567.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $899.94 / $921.96	Facility		$55.00	$899.94	$921.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.11 / $2,430.53 / $2,951.46	Professional		$1,080.11	$2,430.53	$2,951.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.13 / $258.98 / $492.86	Facility		$146.13	$258.98	$492.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $308.14 / $776.27	Professional		$138.75	$308.14	$776.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $430.04 / $430.04 / $981.83	Professional		$430.04	$430.04	$981.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $299.07 / $414.10	Professional		$142.78	$299.07	$414.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,072.00	Facility		$2,048.00	$4,060.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.65 / $294.45 / $651.72	Professional		$230.65	$294.45	$651.72