Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.57 / $4,932.00 / $16,713.00	Facility		$280.57	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $92.40 / $280.57	Professional		$57.38	$92.40	$280.57
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 $62.39 / $99.84 / $220.39	Professional		$62.39	$99.84	$220.39
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 $57.78 / $94.92 / $197.48	Professional		$57.78	$94.92	$197.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $94.87 / $228.87	Professional		$56.34	$94.87	$228.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $82.28 / $124.51	Professional		$58.85	$82.28	$124.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $91.22 / $157.41	Professional		$53.45	$91.22	$157.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $246.88 / $9,102.00 / $11,500.00	Facility		$246.88	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $386.80 / $703.73 / $724.05	Professional		$386.80	$703.73	$724.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $87.54 / $151.22	Facility		$51.82	$87.54	$151.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $100.03 / $219.62	Professional		$57.06	$100.03	$219.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $174.10 / $174.10 / $266.67	Professional		$174.10	$174.10	$266.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $98.73 / $145.26	Professional		$65.31	$98.73	$145.26
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 $66.70 / $103.26 / $299.77	Professional		$66.70	$103.26	$299.77