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 $121.92 / $175.24 / $745.00	Professional		$121.92	$175.24	$745.00
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 $150.88 / $218.31 / $441.24	Professional		$150.88	$218.31	$441.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,668.58	Facility		$66.00	$100.00	$1,668.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $173.28 / $404.08	Professional		$121.30	$173.28	$404.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.79 / $133.29 / $314.02	Facility		$112.79	$133.29	$314.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.28 / $185.20 / $436.18	Professional		$128.28	$185.20	$436.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $145.87 / $230.69	Professional		$130.85	$145.87	$230.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.59 / $189.45 / $326.97	Professional		$121.59	$189.45	$326.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $566.32 / $591.71	Facility		$55.00	$566.32	$591.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $875.92 / $1,276.72 / $1,505.78	Professional		$875.92	$1,276.72	$1,505.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $191.76 / $275.20	Facility		$140.88	$191.76	$275.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.61 / $196.55 / $429.61	Professional		$130.61	$196.55	$429.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $396.28 / $396.28 / $553.76	Professional		$396.28	$396.28	$553.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $152.66 / $232.86	Professional		$109.04	$152.66	$232.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,699.00 / $7,655.00	Facility		$1,120.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $194.40 / $578.89	Professional		$131.22	$194.40	$578.89