Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.26 / $4,749.00 / $16,713.00	Facility		$114.26	$4,749.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $113.39 / $349.23	Professional		$83.15	$113.39	$349.23
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 $104.68 / $154.44 / $312.86	Professional		$104.68	$154.44	$312.86
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 $89.57 / $120.87 / $280.89	Professional		$89.57	$120.87	$280.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.95 / $98.03 / $230.95	Facility		$82.95	$98.03	$230.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $131.33 / $308.63	Professional		$89.32	$131.33	$308.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $125.66 / $179.30	Professional		$92.50	$125.66	$179.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $133.08 / $231.89	Professional		$84.05	$133.08	$231.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $391.72 / $410.54	Facility		$55.00	$391.72	$410.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $606.79 / $902.64 / $1,058.18	Professional		$606.79	$902.64	$1,058.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $128.00 / $196.12	Facility		$92.57	$128.00	$196.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $139.84 / $307.12	Professional		$89.61	$139.84	$307.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $276.07 / $276.07 / $391.48	Professional		$276.07	$276.07	$391.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.53 / $130.69 / $180.95	Professional		$100.53	$130.69	$180.95
United Facility/Professional Facility Modifier Low / Median / High Price $534.00 / $1,523.00 / $7,317.00	Facility		$534.00	$1,523.00	$7,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $140.80 / $413.48	Professional		$92.40	$140.80	$413.48