Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.40 / $4,848.00 / $16,109.00	Facility		$233.40	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.99 / $211.18 / $1,017.46	Professional		$136.99	$211.18	$1,017.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.32 / $231.22 / $483.71	Professional		$154.32	$231.22	$483.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $246.42 / $488.48	Professional		$157.37	$246.42	$488.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.64 / $310.29 / $555.00	Facility		$227.64	$310.29	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.84 / $261.51 / $610.33	Professional		$159.84	$261.51	$610.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $235.70 / $388.20	Professional		$149.66	$235.70	$388.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $264.02 / $501.43	Professional		$167.87	$264.02	$501.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,130.09 / $1,162.44	Facility		$55.00	$1,130.09	$1,162.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.72 / $2,131.28 / $2,342.56	Professional		$1,200.72	$2,131.28	$2,342.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.90 / $265.33 / $414.00	Facility		$158.90	$265.33	$414.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $287.50 / $629.19	Professional		$167.30	$287.50	$629.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $543.13 / $543.13 / $844.87	Professional		$543.13	$543.13	$844.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.36 / $339.73	Professional		$173.78	$245.36	$339.73
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,493.00 / $5,830.00	Facility		$466.00	$1,493.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.43 / $251.65 / $621.54	Professional		$193.43	$251.65	$621.54