Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.24 / $4,763.00 / $16,109.00	Facility		$230.24	$4,763.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $183.98 / $606.88	Professional		$79.95	$183.98	$606.88
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 $91.09 / $145.09 / $461.73	Professional		$91.09	$145.09	$461.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $94.36 / $194.23 / $394.95	Professional		$94.36	$194.23	$394.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.95 / $367.96 / $555.00	Facility		$269.95	$367.96	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $231.59 / $517.39	Professional		$94.69	$231.59	$517.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $162.07 / $369.89	Professional		$120.05	$162.07	$369.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $238.10 / $462.98	Professional		$99.98	$238.10	$462.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $669.36 / $690.72	Facility		$55.00	$669.36	$690.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $869.29 / $1,939.05 / $2,003.03	Professional		$869.29	$1,939.05	$2,003.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $192.08 / $378.32	Facility		$78.00	$192.08	$378.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $240.11 / $579.01	Professional		$98.25	$240.11	$579.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $320.22 / $320.22 / $792.66	Professional		$320.22	$320.22	$792.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $200.81 / $280.47	Professional		$109.19	$200.81	$280.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,125.00 / $4,030.00 / $9,682.00	Facility		$2,125.00	$4,030.00	$9,682.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.59 / $232.68 / $526.21	Professional		$180.59	$232.68	$526.21