Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.99 / $7,280.80 / $20,135.00	Facility		$137.99	$7,280.80	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $140.65 / $581.28	Professional		$60.00	$140.65	$581.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,718.00 / $9,381.00	Facility		$1,787.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $92.83 / $229.91	Professional		$63.58	$92.83	$229.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $133.02 / $261.95	Professional		$69.40	$133.02	$261.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.04 / $158.41 / $373.19	Facility		$134.04	$158.41	$373.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $147.66 / $392.39	Professional		$66.94	$147.66	$392.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $76.77 / $200.57	Professional		$36.86	$76.77	$200.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $147.59 / $273.00	Professional		$68.42	$147.59	$273.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $445.80 / $449.88	Facility		$55.00	$445.80	$449.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $536.85 / $1,018.80 / $1,199.63	Professional		$536.85	$1,018.80	$1,199.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $118.80 / $230.33	Facility		$64.88	$118.80	$230.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $151.18 / $383.47	Professional		$68.65	$151.18	$383.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $203.60 / $203.60 / $470.48	Professional		$203.60	$203.60	$470.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $62.66 / $202.69	Professional		$36.86	$62.66	$202.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $4,038.00 / $9,131.00	Facility		$1,800.00	$4,038.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $162.82 / $488.54	Professional		$112.00	$162.82	$488.54