Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,713.00	Facility		$344.00	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $93.34 / $333.11	Professional		$65.18	$93.34	$333.11
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 $74.29 / $109.61 / $233.33	Professional		$74.29	$109.61	$233.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,510.42	Facility		$66.00	$100.00	$5,510.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $98.55 / $214.56	Professional		$68.98	$98.55	$214.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $62.78 / $147.90	Facility		$53.12	$62.78	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $100.37 / $235.50	Professional		$67.45	$100.37	$235.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $87.12 / $125.47	Professional		$69.67	$87.12	$125.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $94.77 / $165.48	Professional		$63.40	$94.77	$165.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $293.56 / $9,102.00 / $11,500.00	Facility		$293.56	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $529.65 / $1,950.30	Professional		$462.00	$529.65	$1,950.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.74 / $94.95 / $153.32	Facility		$62.74	$94.95	$153.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.11 / $106.01 / $223.53	Professional		$69.11	$106.01	$223.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $278.83	Professional		$206.70	$206.70	$278.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $104.54 / $153.81	Professional		$69.69	$104.54	$153.81
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,495.00 / $6,323.00	Facility		$421.00	$1,495.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $106.92 / $280.61	Professional		$69.44	$106.92	$280.61