Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $5,532.00 / $17,030.00	Facility		$927.00	$5,532.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $38.72 / $179.00	Professional		$31.21	$38.72	$179.00
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 $37.86 / $60.21 / $131.75	Professional		$37.86	$60.21	$131.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,588.01	Facility		$66.00	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $42.38 / $101.70	Professional		$30.15	$42.38	$101.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $185.32 / $436.61	Facility		$156.81	$185.32	$436.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $45.45 / $163.81	Professional		$34.40	$45.45	$163.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $51.03 / $89.36	Professional		$37.79	$51.03	$89.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $44.10 / $79.14	Professional		$34.02	$44.10	$79.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $221.20 / $1,315.00	Facility		$55.00	$221.20	$1,315.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $523.40 / $578.41 / $597.51	Professional		$523.40	$578.41	$597.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $53.41 / $130.27	Facility		$37.79	$53.41	$130.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $45.67 / $98.50	Professional		$34.40	$45.67	$98.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $113.15 / $113.15	Professional		$113.15	$113.15	$113.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $41.95 / $101.27	Professional		$34.33	$41.95	$101.27
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $39.77 / $110.54	Professional		$28.16	$39.77	$110.54