Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.00 / $4,976.00 / $16,713.00	Facility		$289.00	$4,976.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $141.49 / $479.00	Professional		$92.10	$141.49	$479.00
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 $101.36 / $158.36 / $317.94	Professional		$101.36	$158.36	$317.94
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 $85.93 / $113.84 / $273.04	Professional		$85.93	$113.84	$273.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.17 / $99.48 / $234.36	Facility		$84.17	$99.48	$234.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $132.74 / $308.11	Professional		$95.48	$132.74	$308.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $102.14 / $165.88	Professional		$51.68	$102.14	$165.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $137.80 / $237.07	Professional		$91.48	$137.80	$237.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $424.76 / $449.07	Facility		$55.00	$424.76	$449.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $656.88 / $909.76 / $1,066.65	Professional		$656.88	$909.76	$1,066.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.86 / $138.28 / $203.58	Facility		$103.86	$138.28	$203.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $142.31 / $307.20	Professional		$97.03	$142.31	$307.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $296.51 / $296.51 / $393.88	Professional		$296.51	$296.51	$393.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $87.86 / $167.48	Professional		$51.68	$87.86	$167.48
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,506.00 / $6,323.00	Facility		$421.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $138.00 / $400.56	Professional		$91.16	$138.00	$400.56