Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.13 / $4,848.00 / $16,713.00	Facility		$154.13	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $39.21 / $186.00	Professional		$29.12	$39.21	$186.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $53.40 / $109.85	Professional		$36.32	$53.40	$109.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,321.49	Facility		$65.80	$100.00	$5,321.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $41.86 / $100.00	Professional		$31.01	$41.86	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $44.07 / $101.74	Professional		$30.57	$44.07	$101.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $34.96 / $52.15	Professional		$31.06	$34.96	$52.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $41.61 / $71.44	Professional		$28.48	$41.61	$71.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $130.19 / $187.07	Facility		$55.00	$130.19	$187.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $324.79 / $460.43 / $515.92	Professional		$324.79	$460.43	$515.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $45.04 / $67.48	Facility		$33.14	$45.04	$67.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $46.15 / $100.53	Professional		$31.46	$46.15	$100.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $95.62 / $125.68	Professional		$95.62	$95.62	$125.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $35.10 / $52.44	Professional		$28.53	$35.10	$52.44
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $44.40 / $130.41	Professional		$30.22	$44.40	$130.41