Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $7,000.00 / $19,860.00	Facility		$95.00	$7,000.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $101.84 / $396.42	Professional		$75.76	$101.84	$396.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.91 / $94.43 / $4,604.00	Facility		$74.91	$94.43	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $121.09 / $254.26	Professional		$77.09	$121.09	$254.26
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 $64.84 / $87.52 / $209.41	Professional		$64.84	$87.52	$209.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $68.56 / $161.55	Facility		$58.02	$68.56	$161.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $107.46 / $246.27	Professional		$77.18	$107.46	$246.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $109.36 / $131.22	Professional		$85.03	$109.36	$131.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $106.45 / $188.17	Professional		$75.11	$106.45	$188.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $345.40 / $370.74	Facility		$55.00	$345.40	$370.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $540.40 / $666.80 / $773.40	Professional		$540.40	$666.80	$773.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.06 / $107.20 / $149.08	Facility		$83.06	$107.20	$149.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $113.52 / $238.43	Professional		$78.93	$113.52	$238.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $239.26 / $239.26 / $290.95	Professional		$239.26	$239.26	$290.95
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,523.00 / $6,323.00	Facility		$510.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $104.37 / $292.81	Professional		$73.05	$104.37	$292.81