Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.04 / $4,932.00 / $16,713.00	Facility		$74.04	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $68.91 / $303.88	Professional		$39.53	$68.91	$303.88
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 $46.82 / $77.98 / $179.62	Professional		$46.82	$77.98	$179.62
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 $38.39 / $64.09 / $133.88	Professional		$38.39	$64.09	$133.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $63.75 / $150.19	Facility		$53.94	$63.75	$150.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $71.61 / $188.78	Professional		$40.64	$71.61	$188.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $59.87 / $98.60	Professional		$41.74	$59.87	$98.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $75.14 / $135.15	Professional		$38.36	$75.14	$135.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $219.80 / $226.20	Facility		$55.00	$219.80	$226.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $529.36 / $615.08 / $640.01	Professional		$529.36	$615.08	$640.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.75 / $74.06 / $117.49	Facility		$44.75	$74.06	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $76.04 / $184.82	Professional		$42.04	$76.04	$184.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $125.72 / $225.50	Professional		$125.72	$125.72	$225.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $72.30 / $99.42	Professional		$46.32	$72.30	$99.42
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 $54.60 / $83.84 / $227.41	Professional		$54.60	$83.84	$227.41