Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.47 / $4,848.00 / $16,109.00	Facility		$318.47	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $284.01 / $1,017.41	Professional		$138.83	$284.01	$1,017.41
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 $159.24 / $248.14 / $628.69	Professional		$159.24	$248.14	$628.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.39 / $300.23 / $579.69	Professional		$177.39	$300.23	$579.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.74 / $449.45 / $1,195.00	Facility		$329.74	$449.45	$1,195.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $316.04 / $715.19	Professional		$168.41	$316.04	$715.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $196.37 / $265.10 / $497.28	Professional		$196.37	$265.10	$497.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.83 / $335.77 / $630.25	Professional		$167.83	$335.77	$630.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,134.66 / $1,166.52	Facility		$55.00	$1,134.66	$1,166.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.08 / $2,707.65 / $3,192.34	Professional		$1,208.08	$2,707.65	$3,192.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.04 / $316.00 / $544.53	Facility		$173.04	$316.00	$544.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $333.08 / $830.93	Professional		$171.94	$333.08	$830.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $548.66 / $548.66 / $1,101.66	Professional		$548.66	$548.66	$1,101.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $178.55 / $327.76 / $453.82	Professional		$178.55	$327.76	$453.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,678.00 / $7,399.00	Facility		$1,031.00	$2,678.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.99 / $321.98 / $813.04	Professional		$254.99	$321.98	$813.04