Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,397.00 / $16,125.00	Facility		$365.00	$4,397.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $152.59 / $422.89	Professional		$83.50	$152.59	$422.89
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 $87.11 / $156.99 / $359.00	Professional		$87.11	$156.99	$359.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $100.00 / $1,847.20	Facility		$67.30	$100.00	$1,847.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $159.40 / $319.95	Professional		$87.03	$159.40	$319.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $127.20 / $299.68	Facility		$107.63	$127.20	$299.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $153.55 / $394.84	Professional		$84.86	$153.55	$394.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $108.03 / $200.46	Professional		$83.10	$108.03	$200.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $151.76 / $273.36	Professional		$75.80	$151.76	$273.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $352.96 / $368.93	Facility		$55.00	$352.96	$368.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $561.29 / $1,067.35 / $1,237.28	Professional		$561.29	$1,067.35	$1,237.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.30 / $137.44 / $239.89	Facility		$76.30	$137.44	$239.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $162.47 / $373.79	Professional		$86.10	$162.47	$373.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $250.70 / $250.70 / $461.08	Professional		$250.70	$250.70	$461.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $136.16 / $202.53	Professional		$86.37	$136.16	$202.53
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,523.00 / $6,323.00	Facility		$510.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $178.51 / $481.78	Professional		$111.44	$178.51	$481.78