Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.70 / $4,932.00 / $16,713.00	Facility		$320.70	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $146.19 / $907.75	Professional		$52.04	$146.19	$907.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,115.00 / $4,576.00 / $9,589.00	Facility		$2,115.00	$4,576.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $172.50 / $393.60	Professional		$62.27	$172.50	$393.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $146.69 / $316.94	Professional		$63.61	$146.69	$316.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.44 / $165.62 / $439.80	Professional		$63.44	$165.62	$439.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $145.57 / $212.88	Professional		$53.47	$145.57	$212.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $140.16 / $264.74	Professional		$50.74	$140.16	$264.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $201.63 / $244.39 / $244.39	Facility		$201.63	$244.39	$244.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $493.48 / $1,057.75 / $1,192.28	Professional		$493.48	$1,057.75	$1,192.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $140.41 / $233.00	Facility		$56.48	$140.41	$233.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $171.01 / $439.55	Professional		$65.12	$171.01	$439.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $198.99 / $198.99 / $563.24	Professional		$198.99	$198.99	$563.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $145.57 / $218.35	Professional		$50.32	$145.57	$218.35
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $186.54 / $585.03	Professional		$129.33	$186.54	$585.03