Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,702.00 / $16,573.00	Facility		$344.00	$4,702.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $188.79 / $896.00	Professional		$110.64	$188.79	$896.00
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 $105.01 / $160.24 / $348.15	Professional		$105.01	$160.24	$348.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,619.88	Facility		$66.00	$100.00	$1,619.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $119.12 / $182.86 / $405.69	Professional		$119.12	$182.86	$405.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $184.00 / $433.48	Facility		$155.69	$184.00	$433.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.70 / $208.93 / $510.04	Professional		$124.70	$208.93	$510.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $151.43 / $253.91	Professional		$56.59	$151.43	$253.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $202.62 / $366.39	Professional		$130.47	$202.62	$366.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $865.38 / $889.98	Facility		$55.00	$865.38	$889.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,324.80 / $1,553.70	Professional		$912.00	$1,324.80	$1,553.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.64 / $187.89 / $300.62	Facility		$110.64	$187.89	$300.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $219.84 / $496.21	Professional		$126.85	$219.84	$496.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $396.84 / $396.84 / $621.64	Professional		$396.84	$396.84	$621.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $99.91 / $256.52	Professional		$56.59	$99.91	$256.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,678.00 / $7,655.00	Facility		$1,031.00	$2,678.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $218.94 / $653.65	Professional		$149.52	$218.94	$653.65