Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $7,281.00 / $20,135.00	Facility		$80.95	$7,281.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $80.95 / $236.00	Professional		$41.42	$80.95	$236.00
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 $47.36 / $86.42 / $189.67	Professional		$47.36	$86.42	$189.67
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 $43.18 / $84.37 / $161.40	Professional		$43.18	$84.37	$161.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $78.89 / $200.41	Professional		$43.02	$78.89	$200.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $75.95 / $111.11	Professional		$44.85	$75.95	$111.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $76.83 / $138.84	Professional		$40.49	$76.83	$138.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $187.44 / $9,102.00 / $11,500.00	Facility		$187.44	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $640.57 / $640.57 / $970.06	Professional		$640.57	$640.57	$970.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $74.64 / $126.63	Facility		$39.22	$74.64	$126.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $84.42 / $193.77	Professional		$43.29	$84.42	$193.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $132.04 / $230.61	Professional		$132.04	$132.04	$230.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $91.14 / $134.09	Professional		$49.80	$91.14	$134.09
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 $57.46 / $89.87 / $210.77	Professional		$57.46	$89.87	$210.77