Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.07 / $195.03 / $971.35	Professional		$165.07	$195.03	$971.35
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 $163.84 / $247.53 / $505.34	Professional		$163.84	$247.53	$505.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.04 / $202.27 / $483.54	Professional		$141.04	$202.27	$483.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.42 / $124.59 / $293.52	Facility		$105.42	$124.59	$293.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.66 / $225.95 / $503.87	Professional		$170.66	$225.95	$503.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $187.52 / $253.15	Professional		$122.85	$187.52	$253.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $227.10 / $408.79	Professional		$168.22	$227.10	$408.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $950.50 / $971.70	Facility		$55.00	$950.50	$971.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.32 / $1,615.05 / $2,040.97	Professional		$1,202.32	$1,615.05	$2,040.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.03 / $225.37 / $333.34	Facility		$142.03	$225.37	$333.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.65 / $235.57 / $490.23	Professional		$173.65	$235.57	$490.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $539.70 / $539.70 / $609.41	Professional		$539.70	$539.70	$609.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $201.52 / $261.61	Professional		$148.18	$201.52	$261.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $223.73 / $593.48	Professional		$150.63	$223.73	$593.48