Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.72 / $4,848.00 / $16,713.00	Facility		$318.72	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $49.39 / $289.64	Professional		$45.76	$49.39	$289.64
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 $62.53 / $86.57 / $171.34	Professional		$62.53	$86.57	$171.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $100.00 / $5,117.38	Facility		$61.30	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $61.46 / $150.38	Professional		$44.65	$61.46	$150.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $66.79 / $200.01	Professional		$50.55	$66.79	$200.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $60.76 / $75.95	Professional		$50.63	$60.76	$75.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $67.80 / $119.33	Professional		$52.07	$67.80	$119.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.76 / $2,000.00 / $12,000.00	Facility		$177.76	$2,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $478.18 / $659.20 / $680.96	Professional		$478.18	$659.20	$680.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.73 / $69.72 / $126.30	Facility		$52.73	$69.72	$126.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $66.83 / $156.34	Professional		$51.44	$66.83	$156.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $179.71 / $179.71 / $179.71	Professional		$179.71	$179.71	$179.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $64.22 / $95.78	Professional		$50.63	$64.22	$95.78
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 $42.93 / $62.36 / $161.74	Professional		$42.93	$62.36	$161.74