Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,848.00 / $16,713.00	Facility		$365.00	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $220.94 / $767.47	Professional		$110.40	$220.94	$767.47
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 $125.60 / $186.32 / $420.12	Professional		$125.60	$186.32	$420.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $198.39 / $442.12	Professional		$123.23	$198.39	$442.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.58 / $300.87 / $708.81	Facility		$254.58	$300.87	$708.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $246.35 / $692.70	Professional		$124.67	$246.35	$692.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $148.28 / $375.17	Professional		$65.90	$148.28	$375.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $274.86 / $501.81	Professional		$131.22	$274.86	$501.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $847.50 / $871.62	Facility		$55.00	$847.50	$871.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $994.49 / $1,895.76 / $2,229.00	Professional		$994.49	$1,895.76	$2,229.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.06 / $198.59 / $413.63	Facility		$118.06	$198.59	$413.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.05 / $257.79 / $667.73	Professional		$126.05	$257.79	$667.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.08 / $389.08 / $851.91	Professional		$389.08	$389.08	$851.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $116.34 / $379.16	Professional		$65.90	$116.34	$379.16
United Facility/Professional Facility Modifier Low / Median / High Price $457.43 / $1,506.00 / $6,323.00	Facility		$457.43	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.16 / $290.00 / $1,060.83	Professional		$183.16	$290.00	$1,060.83