Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.04 / $4,122.50 / $16,008.00	Facility		$600.04	$4,122.50	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $501.22 / $2,409.00	Professional		$75.76	$501.22	$2,409.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,456.00	Facility		$2,137.00	$5,863.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $681.66 / $1,431.62	Professional		$100.41	$681.66	$1,431.62
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 $84.65 / $319.51 / $1,007.20	Professional		$84.65	$319.51	$1,007.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $533.62 / $1,394.59	Professional		$89.13	$533.62	$1,394.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $526.79 / $631.62	Professional		$87.91	$526.79	$631.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $346.90 / $687.64	Professional		$80.52	$346.90	$687.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $613.65 / $613.65	Facility		$55.00	$613.65	$613.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.12 / $2,658.80 / $3,112.80	Professional		$1,376.12	$2,658.80	$3,112.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $318.63 / $688.40	Facility		$88.73	$318.63	$688.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $543.42 / $1,356.89	Professional		$92.48	$543.42	$1,356.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $273.75 / $273.75 / $1,663.44	Professional		$273.75	$273.75	$1,663.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $526.79 / $790.21	Professional		$80.75	$526.79	$790.21
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 $405.42 / $601.14 / $1,765.10	Professional		$405.42	$601.14	$1,765.10