Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $5,308.00 / $16,125.00	Facility		$412.00	$5,308.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $163.06 / $480.63	Professional		$71.09	$163.06	$480.63
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 $87.76 / $184.50 / $410.41	Professional		$87.76	$184.50	$410.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $2,040.85	Facility		$66.70	$100.00	$2,040.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $175.15 / $352.77	Professional		$85.09	$175.15	$352.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.57 / $166.12 / $391.37	Facility		$140.57	$166.12	$391.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $181.15 / $460.64	Professional		$78.23	$181.15	$460.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $195.83 / $265.69	Professional		$78.16	$195.83	$265.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $166.49 / $302.99	Professional		$70.42	$166.49	$302.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $474.42 / $490.56	Facility		$55.00	$474.42	$490.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $743.00 / $1,334.92 / $1,378.98	Professional		$743.00	$1,334.92	$1,378.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $138.99 / $278.94	Facility		$74.73	$138.99	$278.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $187.56 / $426.99	Professional		$79.38	$187.56	$426.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $229.00 / $229.00 / $525.94	Professional		$229.00	$229.00	$525.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $227.24 / $352.49	Professional		$86.82	$227.24	$352.49
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 $129.63 / $187.74 / $551.86	Professional		$129.63	$187.74	$551.86