Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,713.00	Facility		$344.00	$4,848.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $90.96 / $375.79	Professional		$63.64	$90.96	$375.79
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 $76.33 / $119.44 / $249.50	Professional		$76.33	$119.44	$249.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,684.75	Facility		$66.00	$100.00	$1,684.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $97.92 / $222.14	Professional		$69.37	$97.92	$222.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.47 / $82.10 / $193.42	Facility		$69.47	$82.10	$193.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $104.08 / $250.93	Professional		$68.68	$104.08	$250.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $78.40 / $135.44	Professional		$41.04	$78.40	$135.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $108.01 / $190.29	Professional		$65.28	$108.01	$190.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $304.27 / $317.87	Facility		$55.00	$304.27	$317.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $764.00 / $764.00 / $871.28	Professional		$764.00	$764.00	$871.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $101.79 / $155.40	Facility		$68.48	$101.79	$155.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $109.37 / $250.41	Professional		$69.31	$109.37	$250.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $212.39 / $315.77	Professional		$212.39	$212.39	$315.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $64.68 / $136.75	Professional		$41.04	$64.68	$136.75
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,607.00 / $7,399.00	Facility		$425.00	$2,607.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $113.16 / $313.56	Professional		$74.52	$113.16	$313.56