Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.55 / $6,227.50 / $17,133.00	Facility		$136.55	$6,227.50	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $101.73 / $262.16	Professional		$73.00	$101.73	$262.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,705.00	Facility		$1,759.00	$4,814.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $140.87 / $297.22	Professional		$97.36	$140.87	$297.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,392.69	Facility		$66.00	$100.00	$8,392.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $106.82 / $262.32	Professional		$79.98	$106.82	$262.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $128.44 / $323.04	Professional		$83.96	$128.44	$323.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $125.52 / $247.99	Professional		$57.26	$125.52	$247.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $164.65 / $288.14	Professional		$100.75	$164.65	$288.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $540.40 / $561.60 / $26,542.00	Facility		$540.40	$561.60	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $682.16 / $1,080.56 / $1,272.83	Professional		$682.16	$1,080.56	$1,272.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $142.88 / $233.82	Facility		$101.30	$142.88	$233.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $143.31 / $323.04	Professional		$85.25	$143.31	$323.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $420.97	Professional		$287.52	$287.52	$420.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $97.34 / $212.01	Professional		$57.26	$97.34	$212.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,707.00 / $21,278.00	Facility		$4,110.00	$9,707.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $137.55 / $391.81	Professional		$86.88	$137.55	$391.81