Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $4,848.00 / $16,008.00	Facility		$168.53	$4,848.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $151.02 / $506.84	Professional		$84.88	$151.02	$506.84
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 $92.72 / $147.88 / $351.70	Professional		$92.72	$147.88	$351.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $161.60 / $324.27	Professional		$97.44	$161.60	$324.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.76 / $238.21 / $850.00	Facility		$174.76	$238.21	$850.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $178.00 / $442.46	Professional		$96.46	$178.00	$442.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $152.60 / $268.39	Professional		$113.04	$152.60	$268.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $182.09 / $341.15	Professional		$96.88	$182.09	$341.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $654.72 / $667.20	Facility		$55.00	$654.72	$667.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $1,471.88 / $2,086.50	Professional		$696.00	$1,471.88	$2,086.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $178.26 / $317.52	Facility		$103.90	$178.26	$317.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $189.91 / $462.29	Professional		$97.35	$189.91	$462.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $314.10 / $314.10 / $595.40	Professional		$314.10	$314.10	$595.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $180.84 / $248.66	Professional		$102.76	$180.84	$248.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,046.00 / $2,731.00 / $7,399.00	Facility		$1,046.00	$2,731.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $172.04 / $386.90	Professional		$136.62	$172.04	$386.90