Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.13 / $4,848.00 / $16,573.00	Facility		$188.13	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $74.78 / $300.94	Professional		$56.38	$74.78	$300.94
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 $63.58 / $97.34 / $195.55	Professional		$63.58	$97.34	$195.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $82.84 / $187.51	Professional		$60.92	$82.84	$187.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.11 / $195.13 / $459.72	Facility		$165.11	$195.13	$459.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $85.29 / $193.49	Professional		$60.53	$85.29	$193.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $79.67 / $107.55	Professional		$61.77	$79.67	$107.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $77.56 / $139.41	Professional		$56.62	$77.56	$139.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.80 / $275.93 / $12,000.00	Facility		$263.80	$275.93	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $559.00 / $1,520.20 / $1,520.20	Professional		$559.00	$1,520.20	$1,520.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $87.60 / $127.36	Facility		$66.01	$87.60	$127.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $89.11 / $185.29	Professional		$61.67	$89.11	$185.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $186.71 / $186.71 / $225.18	Professional		$186.71	$186.71	$225.18
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $6,920.00	Facility		$545.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $85.51 / $233.44	Professional		$57.17	$85.51	$233.44