Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.74 / $4,848.00 / $16,713.00	Facility		$174.74	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $175.37 / $722.00	Professional		$124.07	$175.37	$722.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.29 / $175.67 / $462.65	Facility		$145.29	$175.67	$462.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.51 / $214.02 / $434.75	Professional		$154.51	$214.02	$434.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $1,643.40	Facility		$64.20	$100.00	$1,643.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $155.86 / $403.58	Professional		$108.53	$155.86	$403.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $216.73 / $522.63	Professional		$135.02	$216.73	$522.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $184.45 / $249.01 / $361.25	Professional		$184.45	$249.01	$361.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.68 / $271.05 / $467.94	Professional		$175.68	$271.05	$467.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $811.42 / $841.51	Facility		$55.00	$811.42	$841.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.56 / $1,852.56 / $2,258.03	Professional		$1,246.56	$1,852.56	$2,258.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $212.59 / $374.35	Facility		$139.51	$212.59	$374.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.33 / $231.36 / $560.80	Professional		$135.33	$231.36	$560.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $440.04 / $440.04 / $669.65	Professional		$440.04	$440.04	$669.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $167.10 / $204.24 / $333.93	Professional		$167.10	$204.24	$333.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,395.00 / $18,709.00	Facility		$1,919.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $215.09 / $686.15	Professional		$145.38	$215.09	$686.15