Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.81 / $5,576.00 / $17,030.00	Facility		$420.81	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $94.88 / $459.21	Professional		$73.84	$94.88	$459.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.28 / $137.88 / $278.88	Professional		$100.28	$137.88	$278.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,300.60	Facility		$66.00	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $103.76 / $255.97	Professional		$80.06	$103.76	$255.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $116.96 / $288.80	Professional		$83.65	$116.96	$288.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $93.34 / $190.26	Professional		$51.18	$93.34	$190.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $128.94 / $224.13	Professional		$78.33	$128.94	$224.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $367.76 / $380.38 / $16,394.00	Facility		$367.76	$380.38	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $922.00 / $922.00 / $1,042.43	Professional		$922.00	$922.00	$1,042.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.95 / $123.03 / $188.33	Facility		$83.95	$123.03	$188.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $123.49 / $288.80	Professional		$85.29	$123.49	$288.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $261.08 / $359.67	Professional		$261.08	$261.08	$359.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $77.00 / $162.53	Professional		$51.18	$77.00	$162.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $15,471.00	Facility		$3,523.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $128.74 / $373.85	Professional		$82.42	$128.74	$373.85