Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $206.63 / $941.00	Professional		$146.97	$206.63	$941.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $217.76 / $474.03	Professional		$141.22	$217.76	$474.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,305.65	Facility		$66.00	$100.00	$5,305.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $213.42 / $514.30	Professional		$149.38	$213.42	$514.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.72 / $197.03 / $464.18	Facility		$166.72	$197.03	$464.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $245.47 / $578.65	Professional		$164.00	$245.47	$578.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $210.53 / $294.83	Professional		$91.84	$210.53	$294.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.57 / $246.29 / $440.20	Professional		$165.57	$246.29	$440.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,114.44 / $1,144.44	Facility		$55.00	$1,114.44	$1,144.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,573.84 / $1,844.78	Professional		$1,235.00	$1,573.84	$1,844.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.19 / $252.77 / $363.28	Facility		$185.19	$252.77	$363.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.22 / $260.00 / $576.02	Professional		$166.22	$260.00	$576.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.91 / $512.91 / $714.87	Professional		$512.91	$512.91	$714.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $212.52 / $297.79	Professional		$91.84	$212.52	$297.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.04 / $256.32 / $754.78	Professional		$173.04	$256.32	$754.78