Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.95 / $4,969.00 / $17,054.00	Facility		$729.95	$4,969.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.28 / $576.98 / $1,220.01	Professional		$142.28	$576.98	$1,220.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $8,823.00 / $16,846.00	Facility		$2,456.00	$8,823.00	$16,846.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.15 / $951.99 / $1,984.53	Professional		$216.15	$951.99	$1,984.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $146.11 / $477.54 / $1,121.26	Professional		$146.11	$477.54	$1,121.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.49 / $460.65 / $1,165.80	Professional		$152.49	$460.65	$1,165.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $577.07 / $643.14	Professional		$148.10	$577.07	$643.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.57 / $392.03 / $724.13	Professional		$140.57	$392.03	$724.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $713.64 / $713.64	Facility		$55.00	$713.64	$713.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.75 / $3,038.48 / $3,595.20	Professional		$1,622.75	$3,038.48	$3,595.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $394.29 / $839.32	Facility		$154.63	$394.29	$839.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $437.53 / $1,198.39	Professional		$153.63	$437.53	$1,198.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $470.37 / $470.37 / $1,844.43	Professional		$470.37	$470.37	$1,844.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $577.07 / $865.60	Professional		$134.30	$577.07	$865.60
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.43 / $713.82 / $1,667.18	Professional		$454.43	$713.82	$1,667.18