Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,382.00 / $16,713.00	Facility		$934.95	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $97.59 / $399.70	Professional		$86.98	$97.59	$399.70
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 $100.14 / $137.63 / $278.74	Professional		$100.14	$137.63	$278.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $119.69 / $287.20	Professional		$92.25	$119.69	$287.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.77 / $1,057.45 / $2,491.26	Facility		$894.77	$1,057.45	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.63 / $132.60 / $405.11	Professional		$99.63	$132.60	$405.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $113.74 / $153.55	Professional		$80.42	$113.74	$153.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $126.54 / $228.84	Professional		$97.34	$126.54	$228.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $438.75 / $4,017.35 / $12,000.00	Facility		$438.75	$4,017.35	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.00 / $1,509.00 / $1,509.00	Professional		$1,509.00	$1,509.00	$1,509.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $133.72 / $227.65	Facility		$101.91	$133.72	$227.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $133.53 / $281.30	Professional		$102.13	$133.53	$281.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $318.02 / $318.02 / $318.02	Professional		$318.02	$318.02	$318.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $120.63 / $152.12	Professional		$80.42	$120.63	$152.12
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $3,952.00 / $9,072.00	Facility		$600.00	$3,952.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $116.10 / $315.92	Professional		$77.56	$116.10	$315.92