Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,382.00 / $17,054.00	Facility		$1,017.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $103.68 / $538.29	Professional		$91.08	$103.68	$538.29
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 $153.32 / $200.16 / $359.28	Professional		$153.32	$200.16	$359.28
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 $91.20 / $119.67 / $289.67	Professional		$91.20	$119.67	$289.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.63 / $555.02 / $1,307.57	Facility		$469.63	$555.02	$1,307.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $136.19 / $391.87	Professional		$96.70	$136.19	$391.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $89.58 / $157.01	Professional		$59.20	$89.58	$157.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $137.72 / $242.62	Professional		$104.67	$137.72	$242.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $615.60 / $2,108.55	Facility		$55.00	$615.60	$2,108.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $813.45 / $840.30 / $969.45	Professional		$813.45	$840.30	$969.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $135.66 / $196.09	Facility		$108.90	$135.66	$196.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $136.19 / $293.20	Professional		$97.37	$136.19	$293.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $333.99 / $333.99 / $333.99	Professional		$333.99	$333.99	$333.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $85.24 / $128.69	Professional		$59.20	$85.24	$128.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $130.84 / $312.70	Professional		$86.52	$130.84	$312.70