Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,382.00 / $17,054.00	Facility		$1,017.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $86.49 / $411.65	Professional		$77.02	$86.49	$411.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,050.00 / $4,464.00 / $9,166.10	Facility		$2,050.00	$4,464.00	$9,166.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $147.37 / $283.38	Professional		$112.45	$147.37	$283.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,238.60	Facility		$64.20	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $111.14 / $263.20	Professional		$81.22	$111.14	$263.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $111.71 / $346.04	Professional		$85.94	$111.71	$346.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $67.04 / $100.69	Professional		$44.30	$67.04	$100.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $98.93 / $174.11	Professional		$76.08	$98.93	$174.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $499.66 / $1,300.00	Facility		$55.00	$499.66	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $617.51 / $617.51 / $635.03	Professional		$617.51	$617.51	$635.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.63 / $125.59 / $195.40	Facility		$88.63	$125.59	$195.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $115.06 / $263.85	Professional		$87.44	$115.06	$263.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $255.42 / $255.42 / $255.42	Professional		$255.42	$255.42	$255.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $75.31 / $93.17	Professional		$44.30	$75.31	$93.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $97.61 / $237.76	Professional		$65.83	$97.61	$237.76