Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $4,704.00 / $16,573.00	Facility		$411.00	$4,704.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $132.65 / $501.00	Professional		$92.67	$132.65	$501.00
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 $102.24 / $154.46 / $310.94	Professional		$102.24	$154.46	$310.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,684.75	Facility		$66.00	$100.00	$1,684.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $115.98 / $281.47	Professional		$86.37	$115.98	$281.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.76 / $154.54 / $364.08	Facility		$130.76	$154.54	$364.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $144.19 / $370.66	Professional		$96.80	$144.19	$370.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $145.66 / $210.80	Professional		$50.67	$145.66	$210.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.33 / $172.48 / $297.97	Professional		$112.33	$172.48	$297.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $518.08 / $562.12	Facility		$55.00	$518.08	$562.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $788.72 / $1,096.56 / $1,293.00	Professional		$788.72	$1,096.56	$1,293.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.52 / $150.04 / $233.60	Facility		$97.52	$150.04	$233.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $155.19 / $370.66	Professional		$97.69	$155.19	$370.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $332.65 / $332.65 / $427.62	Professional		$332.65	$332.65	$427.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $91.21 / $212.95	Professional		$50.67	$91.21	$212.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,731.00 / $7,940.00	Facility		$1,371.00	$2,731.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $143.04 / $430.43	Professional		$89.58	$143.04	$430.43