Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.48 / $6,695.00 / $19,860.00	Facility		$117.48	$6,695.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $119.54 / $493.41	Professional		$89.18	$119.54	$493.41
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 $88.66 / $141.40 / $299.29	Professional		$88.66	$141.40	$299.29
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 $79.95 / $114.22 / $257.35	Professional		$79.95	$114.22	$257.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.57 / $110.59 / $260.52	Facility		$93.57	$110.59	$260.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $133.63 / $313.39	Professional		$89.70	$133.63	$313.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $106.40 / $160.96	Professional		$58.08	$106.40	$160.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $133.87 / $239.40	Professional		$90.94	$133.87	$239.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $413.12 / $454.10	Facility		$55.00	$413.12	$454.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $644.88 / $873.44 / $994.80	Professional		$644.88	$873.44	$994.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $130.97 / $192.18	Facility		$81.59	$130.97	$192.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $141.63 / $296.98	Professional		$92.00	$141.63	$296.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $277.48 / $277.48 / $368.84	Professional		$277.48	$277.48	$368.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $95.21 / $162.61	Professional		$58.08	$95.21	$162.61
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 $88.76 / $133.61 / $368.98	Professional		$88.76	$133.61	$368.98