Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.60 / $4,056.00 / $15,795.00	Facility		$597.60	$4,056.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $144.40 / $457.25	Professional		$95.82	$144.40	$457.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,456.00	Facility		$2,143.00	$5,863.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $174.76 / $373.42	Professional		$123.09	$174.76	$373.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,559.83	Facility		$66.00	$100.00	$20,559.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $140.55 / $321.51	Professional		$99.95	$140.55	$321.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.40 / $1,436.39 / $3,384.00	Facility		$1,215.40	$1,436.39	$3,384.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $163.94 / $403.52	Professional		$108.33	$163.94	$403.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $140.44 / $235.68	Professional		$117.03	$140.44	$235.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.79 / $161.36 / $278.00	Professional		$103.79	$161.36	$278.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $477.56 / $509.63	Facility		$55.00	$477.56	$509.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $748.16 / $1,082.16 / $1,242.23	Professional		$748.16	$1,082.16	$1,242.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.43 / $169.69 / $247.27	Facility		$121.43	$169.69	$247.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $175.44 / $379.97	Professional		$111.29	$175.44	$379.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $331.14 / $331.14 / $481.41	Professional		$331.14	$331.14	$481.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $146.53 / $201.48	Professional		$106.35	$146.53	$201.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,243.00 / $11,982.00	Facility		$2,212.00	$4,243.00	$11,982.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.48 / $170.56 / $468.81	Professional		$116.48	$170.56	$468.81