Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,932.00 / $16,125.00	Facility		$365.00	$4,932.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $151.32 / $601.33	Professional		$54.98	$151.32	$601.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $168.01 / $390.69	Professional		$70.18	$168.01	$390.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,904.45	Facility		$66.00	$100.00	$1,904.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $157.13 / $321.73	Professional		$67.91	$157.13	$321.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.76 / $165.17 / $389.12	Facility		$139.76	$165.17	$389.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $176.54 / $459.52	Professional		$64.27	$176.54	$459.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $183.54 / $260.85	Professional		$76.26	$183.54	$260.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $163.16 / $297.08	Professional		$68.63	$163.16	$297.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $460.32 / $469.02	Facility		$55.00	$460.32	$469.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $1,317.60 / $6,897.85	Professional		$688.00	$1,317.60	$6,897.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.30 / $133.59 / $263.02	Facility		$66.30	$133.59	$263.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $178.80 / $425.90	Professional		$67.81	$178.80	$425.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $225.61 / $225.61 / $557.40	Professional		$225.61	$225.61	$557.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $223.08 / $330.38	Professional		$84.71	$223.08	$330.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,731.00 / $7,940.00	Facility		$1,371.00	$2,731.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.32 / $193.71 / $561.34	Professional		$131.32	$193.71	$561.34