Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.04 / $3,989.00 / $15,877.00	Facility		$290.04	$3,989.00	$15,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $134.58 / $522.50	Professional		$60.97	$134.58	$522.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,597.00 / $9,274.00	Facility		$2,143.00	$4,597.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $122.06 / $270.60	Professional		$60.44	$122.06	$270.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,588.01	Facility		$66.00	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $132.38 / $252.67	Professional		$71.23	$132.38	$252.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.19 / $88.86 / $209.35	Facility		$75.19	$88.86	$209.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $134.16 / $300.63	Professional		$67.11	$134.16	$300.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $73.34 / $135.15	Professional		$59.98	$73.34	$135.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $103.16 / $184.29	Professional		$54.74	$103.16	$184.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $249.77 / $267.05	Facility		$55.00	$249.77	$267.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $397.52 / $724.40 / $846.83	Professional		$397.52	$724.40	$846.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $107.81 / $192.45	Facility		$63.74	$107.81	$192.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $139.12 / $274.18	Professional		$69.62	$139.12	$274.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $179.95 / $179.95 / $324.20	Professional		$179.95	$179.95	$324.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $95.35 / $136.50	Professional		$54.91	$95.35	$136.50
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $132.74 / $400.54	Professional		$81.20	$132.74	$400.54