Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.67 / $4,932.00 / $16,713.00	Facility		$218.67	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $75.90 / $176.96	Professional		$42.52	$75.90	$176.96
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 $48.24 / $87.34 / $192.80	Professional		$48.24	$87.34	$192.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,588.01	Facility		$66.00	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $85.08 / $163.91	Professional		$43.61	$85.08	$163.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $71.47 / $168.38	Facility		$60.47	$71.47	$168.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $80.95 / $204.02	Professional		$43.75	$80.95	$204.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $74.83 / $112.88	Professional		$46.79	$74.83	$112.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $77.92 / $140.90	Professional		$42.11	$77.92	$140.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $193.72 / $9,102.00 / $11,500.00	Facility		$193.72	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $385.92 / $1,375.00 / $1,375.00	Professional		$385.92	$1,375.00	$1,375.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.51 / $75.25 / $127.36	Facility		$41.51	$75.25	$127.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $85.56 / $195.00	Professional		$44.24	$85.56	$195.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $135.69 / $234.27	Professional		$135.69	$135.69	$234.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $89.80 / $132.12	Professional		$51.96	$89.80	$132.12
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,501.00 / $7,317.00	Facility		$466.00	$1,501.00	$7,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $91.32 / $214.22	Professional		$56.56	$91.32	$214.22