Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.22 / $3,838.91 / $15,877.00	Facility		$293.22	$3,838.91	$15,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $160.10 / $819.00	Professional		$44.40	$160.10	$819.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,465.00 / $9,381.00	Facility		$1,723.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $209.88 / $471.24	Professional		$58.57	$209.88	$471.24
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 $49.17 / $128.24 / $312.88	Professional		$49.17	$128.24	$312.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.44 / $176.15 / $480.56	Professional		$53.44	$176.15	$480.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $151.53 / $239.42	Professional		$53.33	$151.53	$239.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $159.99 / $319.69	Professional		$48.73	$159.99	$319.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $307.85 / $307.85	Facility		$55.00	$307.85	$307.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $625.11 / $1,211.20 / $1,407.83	Professional		$625.11	$1,211.20	$1,407.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.84 / $127.02 / $278.24	Facility		$53.84	$127.02	$278.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $179.43 / $459.13	Professional		$55.71	$179.43	$459.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $165.49 / $581.44	Professional		$165.49	$165.49	$581.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $176.02 / $242.02	Professional		$48.87	$176.02	$242.02
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 $137.76 / $201.72 / $611.17	Professional		$137.76	$201.72	$611.17