Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.20 / $4,848.00 / $16,713.00	Facility		$259.20	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $111.90 / $300.82	Professional		$45.14	$111.90	$300.82
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 $55.36 / $84.88 / $193.60	Professional		$55.36	$84.88	$193.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,619.88	Facility		$66.00	$100.00	$1,619.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $100.00 / $189.93	Professional		$47.03	$100.00	$189.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $97.55 / $229.82	Facility		$82.54	$97.55	$229.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $119.69 / $320.27	Professional		$51.14	$119.69	$320.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $91.61 / $153.94	Professional		$52.56	$91.61	$153.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $106.12 / $192.00	Professional		$48.09	$106.12	$192.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $223.96 / $233.80	Facility		$55.00	$223.96	$233.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $389.42 / $745.52 / $862.20	Professional		$389.42	$745.52	$862.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $105.08 / $176.86	Facility		$56.05	$105.08	$176.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $121.10 / $289.32	Professional		$52.00	$121.10	$289.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $160.83 / $160.83 / $379.63	Professional		$160.83	$160.83	$379.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $109.38 / $151.44	Professional		$58.36	$109.38	$151.44
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 $90.72 / $126.36 / $395.71	Professional		$90.72	$126.36	$395.71