Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.94 / $4,429.00 / $16,125.00	Facility		$297.94	$4,429.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $220.84 / $696.95	Professional		$130.88	$220.84	$696.95
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 $162.21 / $252.57 / $557.52	Professional		$162.21	$252.57	$557.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $243.85 / $496.95	Professional		$132.80	$243.85	$496.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.11 / $195.13 / $459.72	Facility		$165.11	$195.13	$459.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $236.43 / $544.29	Professional		$140.41	$236.43	$544.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $176.14 / $295.76	Professional		$135.13	$176.14	$295.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $233.09 / $403.79	Professional		$133.76	$233.09	$403.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $624.40 / $652.60 / $12,000.00	Facility		$624.40	$652.60	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.00 / $1,600.88 / $1,879.50	Professional		$1,118.00	$1,600.88	$1,879.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.69 / $220.85 / $355.74	Facility		$134.69	$220.85	$355.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.74 / $254.68 / $539.63	Professional		$140.74	$254.68	$539.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $432.44 / $432.44 / $698.12	Professional		$432.44	$432.44	$698.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $189.20 / $298.64	Professional		$135.13	$189.20	$298.64
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.96 / $261.01 / $861.11	Professional		$169.96	$261.01	$861.11