Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.76 / $4,063.00 / $16,125.00	Facility		$437.76	$4,063.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $341.45 / $1,896.00	Professional		$38.39	$341.45	$1,896.00
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 $50.62 / $495.57 / $1,076.60	Professional		$50.62	$495.57	$1,076.60
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 $42.46 / $160.27 / $735.99	Professional		$42.46	$160.27	$735.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $397.32 / $1,094.82	Professional		$45.60	$397.32	$1,094.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $418.09 / $498.06	Professional		$45.29	$418.09	$498.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $259.00 / $555.32	Professional		$41.47	$259.00	$555.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $187.71 / $477.39	Facility		$55.00	$187.71	$477.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.90 / $2,060.00 / $2,421.38	Professional		$1,065.90	$2,060.00	$2,421.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.72 / $247.16 / $518.79	Facility		$45.72	$247.16	$518.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $405.77 / $1,027.85	Professional		$47.76	$405.77	$1,027.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $142.19 / $1,322.72	Professional		$142.19	$142.19	$1,322.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $418.09 / $627.14	Professional		$41.59	$418.09	$627.14
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 $319.89 / $464.49 / $1,656.96	Professional		$319.89	$464.49	$1,656.96