Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.49 / $5,576.00 / $17,030.00	Facility		$194.49	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $153.93 / $871.95	Professional		$33.92	$153.93	$871.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $12,615.00	Facility		$2,143.00	$5,863.00	$12,615.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $210.57 / $425.51	Professional		$50.87	$210.57	$425.51
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 $39.57 / $133.18 / $319.52	Professional		$39.57	$133.18	$319.52
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 $37.20 / $139.18 / $343.90	Professional		$37.20	$139.18	$343.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $48.68 / $245.73	Professional		$36.06	$48.68	$245.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $101.80 / $245.81	Professional		$32.83	$101.80	$245.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $230.45 / $255.58 / $16,394.00	Facility		$230.45	$255.58	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $1,048.33 / $1,171.50	Professional		$687.00	$1,048.33	$1,171.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $144.51 / $265.64	Facility		$38.50	$144.51	$265.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $126.17 / $352.87	Professional		$37.83	$126.17	$352.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $113.05 / $541.02	Professional		$113.05	$113.05	$541.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.11 / $202.40	Professional		$33.11	$64.11	$202.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,753.00 / $11,305.00	Facility		$1,371.00	$2,753.00	$11,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $190.74 / $490.18	Professional		$132.53	$190.74	$490.18