Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.68 / $4,749.00 / $16,109.00	Facility		$163.68	$4,749.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $135.78 / $302.95	Professional		$89.87	$135.78	$302.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $152.49 / $332.93	Professional		$98.74	$152.49	$332.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.06 / $251.67 / $288.97	Professional	50	$208.06	$251.67	$288.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,809.99	Facility		$66.00	$100.00	$5,809.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $170.34 / $329.48	Professional		$103.58	$170.34	$329.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $1,726.46 / $2,353.27	Facility		$372.64	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $172.16 / $374.57	Professional		$105.72	$172.16	$374.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $162.38 / $301.66	Professional		$57.33	$162.38	$301.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $184.64 / $340.13	Professional		$113.41	$184.64	$340.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $760.98 / $783.06 / $12,000.00	Facility		$760.98	$783.06	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $807.04 / $1,265.11 / $1,462.28	Professional		$807.04	$1,265.11	$1,462.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.72 / $169.15 / $297.35	Facility		$92.72	$169.15	$297.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.80 / $188.07 / $415.28	Professional		$109.80	$188.07	$415.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $363.54 / $363.54 / $578.73	Professional		$363.54	$363.54	$578.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $117.69 / $203.27	Professional		$74.53	$117.69	$203.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,070.50 / $4,060.00 / $9,131.00	Facility		$2,070.50	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $170.30 / $390.66	Professional		$131.82	$170.30	$390.66