Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.94 / $4,848.00 / $16,125.00	Facility		$140.94	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $112.23 / $321.48	Professional		$52.95	$112.23	$321.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $125.41 / $288.18	Professional		$58.67	$125.41	$288.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $125.56 / $247.57	Professional		$65.59	$125.56	$247.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $137.63 / $324.26	Facility		$116.46	$137.63	$324.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $132.35 / $334.36	Professional		$65.23	$132.35	$334.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $87.19 / $178.39	Professional		$63.29	$87.19	$178.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $131.53 / $239.62	Professional		$64.75	$131.53	$239.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $351.85 / $356.15	Facility		$55.00	$351.85	$356.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.00 / $1,265.00 / $1,265.00	Professional		$1,265.00	$1,265.00	$1,265.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.91 / $116.38 / $206.25	Facility		$68.91	$116.38	$206.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $140.52 / $324.24	Professional		$65.55	$140.52	$324.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $197.59 / $197.59 / $424.80	Professional		$197.59	$197.59	$424.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $88.61 / $180.28	Professional		$63.29	$88.61	$180.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,758.00 / $22,073.00	Facility		$4,331.00	$9,758.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $147.84 / $442.11	Professional		$101.36	$147.84	$442.11