Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,576.00 / $16,973.00	Facility		$550.00	$5,576.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $202.85 / $815.53	Professional		$142.72	$202.85	$815.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.30 / $226.44 / $442.61	Professional		$158.30	$226.44	$442.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,100.20	Facility		$66.00	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $205.19 / $484.78	Professional		$143.63	$205.19	$484.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $178.68 / $420.96	Facility		$151.19	$178.68	$420.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $223.79 / $527.20	Professional		$151.22	$223.79	$527.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $170.84 / $291.51	Professional		$22.71	$170.84	$291.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $235.28 / $414.28	Professional		$146.13	$235.28	$414.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $679.48 / $702.48	Facility		$55.00	$679.48	$702.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.56 / $1,596.80 / $1,958.55	Professional		$1,026.56	$1,596.80	$1,958.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.42 / $226.79 / $343.49	Facility		$165.42	$226.79	$343.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $233.28 / $532.46	Professional		$152.01	$233.28	$532.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $464.48 / $464.48 / $691.68	Professional		$464.48	$464.48	$691.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $171.97 / $294.01	Professional		$22.71	$171.97	$294.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.20 / $247.90 / $696.35	Professional		$172.20	$247.90	$696.35