Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.67 / $4,932.00 / $16,713.00	Facility		$269.67	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $141.13 / $661.21	Professional		$51.68	$141.13	$661.21
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 $67.94 / $158.09 / $345.07	Professional		$67.94	$158.09	$345.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,510.42	Facility		$66.00	$100.00	$5,510.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $119.14 / $249.82	Professional		$50.56	$119.14	$249.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.29 / $162.26 / $382.26	Facility		$137.29	$162.26	$382.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $136.66 / $393.95	Professional		$54.22	$136.66	$393.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $127.78 / $211.19	Professional		$54.75	$127.78	$211.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $146.18 / $283.99	Professional		$50.31	$146.18	$283.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $288.05 / $294.50	Facility		$55.00	$288.05	$294.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $567.20 / $1,081.92 / $1,266.23	Professional		$567.20	$1,081.92	$1,266.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.67 / $141.13 / $247.36	Facility		$58.67	$141.13	$247.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $141.00 / $386.14	Professional		$55.73	$141.00	$386.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $167.33 / $476.29	Professional		$167.33	$167.33	$476.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $149.07 / $213.42	Professional		$60.75	$149.07	$213.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,218.00 / $10,979.00	Facility		$2,090.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $169.17 / $454.85	Professional		$113.68	$169.17	$454.85