Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.50 / $3,363.00 / $13,916.00	Facility		$556.50	$3,363.00	$13,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $104.26 / $542.00	Professional		$38.50	$104.26	$542.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $110.25 / $245.22	Professional		$49.05	$110.25	$245.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,619.88	Facility		$66.00	$100.00	$1,619.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $100.00 / $202.51	Professional		$45.67	$100.00	$202.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $94.18 / $221.87	Facility		$79.69	$94.18	$221.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $114.21 / $307.29	Professional		$45.23	$114.21	$307.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.07 / $132.87	Professional		$35.00	$50.07	$132.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $99.96 / $180.71	Professional		$41.97	$99.96	$180.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $194.92 / $204.06	Facility		$55.00	$194.92	$204.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $697.68 / $816.83	Professional		$435.00	$697.68	$816.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $92.06 / $159.94	Facility		$44.41	$92.06	$159.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $115.53 / $276.74	Professional		$47.05	$115.53	$276.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $141.13 / $363.54	Professional		$141.13	$141.13	$363.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.50 / $134.22	Professional		$35.00	$50.50	$134.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $126.34 / $347.31	Professional		$87.08	$126.34	$347.31