Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $17,133.00	Facility		$344.00	$4,932.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $153.18 / $548.04	Professional		$99.06	$153.18	$548.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.09 / $245.55 / $444.51	Professional		$153.09	$245.55	$444.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $125.27 / $199.49 / $367.62	Professional		$125.27	$199.49	$367.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.81 / $419.81 / $496.13	Facility		$419.81	$419.81	$496.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $174.02 / $345.33	Professional		$110.33	$174.02	$345.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $156.37 / $295.79	Professional		$110.79	$156.37	$295.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.64 / $156.09 / $272.57	Professional		$101.64	$156.09	$272.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $812.35 / $831.95	Facility		$55.00	$812.35	$831.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $739.20 / $1,126.71 / $1,290.45	Professional		$739.20	$1,126.71	$1,290.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $174.14 / $261.67	Facility		$118.47	$174.14	$261.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $180.62 / $365.22	Professional		$111.32	$180.62	$365.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $340.06 / $340.06 / $507.16	Professional		$340.06	$340.06	$507.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.77 / $197.19 / $295.79	Professional		$101.77	$197.19	$295.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,699.00 / $7,655.00	Facility		$1,198.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $188.32 / $420.07	Professional		$124.04	$188.32	$420.07