Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.20 / $4,023.00 / $16,008.00	Facility		$174.20	$4,023.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $166.45 / $734.79	Professional		$108.38	$166.45	$734.79
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 $136.49 / $197.47 / $404.85	Professional		$136.49	$197.47	$404.85
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 $111.48 / $159.25 / $366.68	Professional		$111.48	$159.25	$366.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.39 / $122.19 / $287.86	Facility		$103.39	$122.19	$287.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $169.41 / $398.68	Professional		$115.78	$169.41	$398.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $120.48 / $210.16	Professional		$79.55	$120.48	$210.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $170.49 / $296.13	Professional		$108.31	$170.49	$296.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $504.64 / $527.11	Facility		$55.00	$504.64	$527.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $781.92 / $1,161.28 / $1,366.43	Professional		$781.92	$1,161.28	$1,366.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.59 / $180.98 / $251.94	Facility		$125.59	$180.98	$251.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $178.07 / $393.15	Professional		$118.05	$178.07	$393.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $356.28 / $356.28 / $506.55	Professional		$356.28	$356.28	$506.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $114.55 / $212.15	Professional		$79.55	$114.55	$212.15
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 $118.29 / $177.60 / $502.42	Professional		$118.29	$177.60	$502.42