Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.76 / $6,695.00 / $19,860.00	Facility		$204.76	$6,695.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $188.24 / $669.06	Professional		$113.65	$188.24	$669.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $232.57 / $540.41	Professional		$136.76	$232.57	$540.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,619.88	Facility		$66.00	$100.00	$1,619.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $174.88 / $405.32	Professional		$122.42	$174.88	$405.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $229.87 / $541.57	Facility		$194.51	$229.87	$541.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $227.76 / $588.59	Professional		$133.69	$227.76	$588.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $150.27 / $290.00	Professional		$49.52	$150.27	$290.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $225.41 / $395.46	Professional		$131.19	$225.41	$395.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $834.72 / $842.46	Facility		$55.00	$834.72	$842.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,470.32 / $1,716.45	Professional		$880.96	$1,470.32	$1,716.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $187.96 / $333.10	Facility		$101.30	$187.96	$333.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $237.29 / $547.40	Professional		$133.72	$237.29	$547.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $415.12 / $415.12 / $703.64	Professional		$415.12	$415.12	$703.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $87.42 / $293.13	Professional		$49.52	$87.42	$293.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $236.93 / $742.53	Professional		$166.88	$236.93	$742.53