Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.63 / $4,397.00 / $16,109.00	Facility		$304.63	$4,397.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $115.95 / $304.63	Professional		$66.79	$115.95	$304.63
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 $70.59 / $127.32 / $260.25	Professional		$70.59	$127.32	$260.25
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 $69.56 / $130.13 / $254.07	Professional		$69.56	$130.13	$254.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.05 / $92.24 / $217.30	Facility		$78.05	$92.24	$217.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $109.04 / $275.77	Professional		$58.30	$109.04	$275.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $70.59 / $133.18	Professional		$58.65	$70.59	$133.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $100.51 / $181.53	Professional		$52.84	$100.51	$181.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $237.65 / $257.69	Facility		$55.00	$237.65	$257.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.00 / $725.28 / $821.03	Professional		$588.00	$725.28	$821.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.32 / $99.91 / $176.19	Facility		$58.32	$99.91	$176.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $118.55 / $258.77	Professional		$61.16	$118.55	$258.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.69 / $169.69 / $315.14	Professional		$169.69	$169.69	$315.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $74.18 / $134.54	Professional		$47.34	$74.18	$134.54
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,506.00 / $6,323.00	Facility		$421.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $125.20 / $323.41	Professional		$75.88	$125.20	$323.41