Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,848.00 / $16,713.00	Facility		$365.00	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $118.60 / $471.41	Professional		$87.20	$118.60	$471.41
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 $110.78 / $163.30 / $327.97	Professional		$110.78	$163.30	$327.97
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 $93.76 / $126.59 / $297.16	Professional		$93.76	$126.59	$297.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $103.34 / $243.47	Facility		$87.45	$103.34	$243.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $138.25 / $325.63	Professional		$94.31	$138.25	$325.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $136.30 / $190.10	Professional		$98.75	$136.30	$190.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $141.37 / $246.17	Professional		$89.97	$141.37	$246.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $418.04 / $438.90	Facility		$55.00	$418.04	$438.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $648.32 / $958.48 / $1,127.18	Professional		$648.32	$958.48	$1,127.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.97 / $140.63 / $212.98	Facility		$98.97	$140.63	$212.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $146.72 / $320.91	Professional		$94.86	$146.72	$320.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $292.49 / $292.49 / $411.50	Professional		$292.49	$292.49	$411.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $139.10 / $196.28	Professional		$109.04	$139.10	$196.28
United Facility/Professional Facility Modifier Low / Median / High Price $501.48 / $1,495.00 / $6,323.00	Facility		$501.48	$1,495.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $147.26 / $428.47	Professional		$96.86	$147.26	$428.47