Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.20 / $4,429.00 / $16,573.00	Facility		$125.20	$4,429.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $24.99 / $114.19	Professional		$18.39	$24.99	$114.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $35.51 / $76.13	Professional		$23.59	$35.51	$76.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $1,599.04	Facility		$65.80	$100.00	$1,599.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $27.03 / $69.68	Professional		$19.70	$27.03	$69.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $31.26 / $71.83	Professional		$22.19	$31.26	$71.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $25.02 / $33.04	Professional		$20.85	$25.02	$33.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $28.86 / $51.07	Professional		$20.23	$28.86	$51.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $92.34 / $98.99	Facility		$55.00	$92.34	$98.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $244.00 / $294.02	Professional		$244.00	$244.00	$294.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $32.44 / $52.70	Facility		$23.76	$32.44	$52.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $32.72 / $70.56	Professional		$22.73	$32.72	$70.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $70.84 / $88.88	Professional		$70.84	$70.84	$88.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $26.29 / $36.81	Professional		$17.96	$26.29	$36.81
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,506.00 / $6,323.00	Facility		$466.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $30.42 / $86.55	Professional		$21.24	$30.42	$86.55