Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.18 / $7,281.00 / $20,135.00	Facility		$128.18	$7,281.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $130.86 / $561.53	Professional		$92.05	$130.86	$561.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.53 / $188.35 / $363.40	Professional		$124.53	$188.35	$363.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,633.20	Facility		$66.00	$100.00	$5,633.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.63 / $318.37	Professional		$100.00	$151.63	$318.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.81 / $496.13 / $1,168.84	Facility		$419.81	$496.13	$1,168.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.91 / $148.13 / $353.91	Professional		$98.91	$148.13	$353.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $108.60 / $179.06	Professional		$65.52	$108.60	$179.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.36 / $134.72 / $235.76	Professional		$89.36	$134.72	$235.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $718.27 / $734.23	Facility		$55.00	$718.27	$734.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.88 / $933.22 / $1,046.03	Professional		$660.88	$933.22	$1,046.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.43 / $138.54 / $216.37	Facility		$94.43	$138.54	$216.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $156.78 / $335.14	Professional		$100.51	$156.78	$335.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $298.51 / $298.51 / $417.52	Professional		$298.51	$298.51	$417.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $98.29 / $165.80	Professional		$65.52	$98.29	$165.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,679.00 / $7,655.00	Facility		$1,031.00	$2,679.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $154.91 / $431.50	Professional		$104.69	$154.91	$431.50