Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.68 / $38,293.00 / $76,588.00	Facility		$191.68	$38,293.00	$76,588.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.23 / $322.30 / $2,848.00	Professional		$189.23	$322.30	$2,848.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,256.00 / $26,659.00	Facility		$2,776.00	$9,256.00	$26,659.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.94 / $348.36 / $695.38	Professional		$275.94	$348.36	$695.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $804.59	Facility		$58.70	$100.00	$804.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $105.00 / $267.05	Professional		$37.50	$105.00	$267.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25,540.00 / $40,368.00 / $53,438.00	Facility		$25,540.00	$40,368.00	$53,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $273.45 / $744.33	Professional		$209.00	$273.45	$744.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $221.08 / $265.30	Professional		$143.34	$221.08	$265.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.20 / $268.58 / $481.95	Professional		$205.20	$268.58	$481.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $509.01 / $1,020.63	Facility		$55.00	$509.01	$1,020.63
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $42.59 / $100.06 / $102.06	Facility	AS	$42.59	$100.06	$102.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.09 / $1,876.09 / $1,954.50	Professional		$1,876.09	$1,876.09	$1,954.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.67 / $263.02 / $412.33	Facility		$207.67	$263.02	$412.33
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $70.66 / $70.66 / $70.66	Facility	AS	$70.66	$70.66	$70.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $275.48 / $604.02	Professional		$209.00	$275.48	$604.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $675.37 / $675.37 / $675.37	Professional		$675.37	$675.37	$675.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $206.47 / $244.38	Professional		$143.34	$206.47	$244.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,243.00 / $10,979.00	Facility		$2,212.00	$4,243.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $254.00 / $694.77	Professional		$177.80	$254.00	$694.77