Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,576.00 / $17,030.00	Facility		$462.00	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $207.29 / $667.37	Professional		$123.23	$207.29	$667.37
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 $127.30 / $215.53 / $473.49	Professional		$127.30	$215.53	$473.49
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 $135.37 / $208.19 / $449.61	Professional		$135.37	$208.19	$449.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.56 / $232.29 / $547.26	Facility		$196.56	$232.29	$547.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $230.78 / $568.10	Professional		$134.68	$230.78	$568.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $176.45 / $294.10	Professional		$52.12	$176.45	$294.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $229.33 / $401.33	Professional		$140.16	$229.33	$401.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $891.72 / $926.52	Facility		$55.00	$891.72	$926.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $937.76 / $1,493.68 / $1,755.90	Professional		$937.76	$1,493.68	$1,755.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.70 / $206.10 / $340.11	Facility		$124.70	$206.10	$340.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $244.96 / $541.98	Professional		$134.91	$244.96	$541.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $414.10 / $414.10 / $684.58	Professional		$414.10	$414.10	$684.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $118.31 / $297.20	Professional		$65.73	$118.31	$297.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $233.00 / $702.57	Professional		$163.24	$233.00	$702.57