Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.47 / $4,848.00 / $16,713.00	Facility		$160.47	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $128.34 / $594.08	Professional		$41.64	$128.34	$594.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $12,615.00	Facility		$2,143.00	$5,944.00	$12,615.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $184.75 / $407.56	Professional		$64.53	$184.75	$407.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $123.73 / $266.44	Professional		$51.47	$123.73	$266.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.91 / $798.91 / $944.16	Facility		$798.91	$798.91	$944.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $121.98 / $280.64	Professional		$46.47	$121.98	$280.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $167.16 / $316.22	Professional		$50.61	$167.16	$316.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $113.80 / $195.98	Professional		$45.39	$113.80	$195.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $213.10 / $222.68	Facility		$55.00	$213.10	$222.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $995.38 / $1,153.28	Professional		$687.00	$995.38	$1,153.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $116.93 / $252.77	Facility		$52.92	$116.93	$252.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $122.69 / $301.72	Professional		$46.88	$122.69	$301.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $142.69 / $408.38	Professional		$142.69	$142.69	$408.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $167.16 / $316.20	Professional		$45.95	$167.16	$316.20
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 $102.60 / $158.07 / $397.76	Professional		$102.60	$158.07	$397.76