Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.60 / $6,505.00 / $19,011.00	Facility		$156.60	$6,505.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $157.15 / $779.65	Professional		$122.70	$157.15	$779.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.93 / $207.40 / $393.12	Professional		$142.93	$207.40	$393.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $169.25 / $409.81	Professional		$118.48	$169.25	$409.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.05 / $92.24 / $217.30	Facility		$78.05	$92.24	$217.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $181.07 / $409.56	Professional		$136.40	$181.07	$409.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $150.15 / $192.05	Professional		$110.97	$150.15	$192.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $174.60 / $313.95	Professional		$129.38	$174.60	$313.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $596.47 / $620.29	Facility		$55.00	$596.47	$620.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $909.84 / $1,139.03 / $3,111.55	Professional		$909.84	$1,139.03	$3,111.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.76 / $185.36 / $266.02	Facility		$146.76	$185.36	$266.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $189.24 / $408.17	Professional		$139.22	$189.24	$408.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $414.86 / $414.86 / $497.80	Professional		$414.86	$414.86	$497.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $151.12 / $193.49	Professional		$110.97	$151.12	$193.49
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 $128.49 / $189.42 / $550.80	Professional		$128.49	$189.42	$550.80