Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.76 / $7,281.00 / $20,135.00	Facility		$78.76	$7,281.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $76.19 / $316.94	Professional		$43.08	$76.19	$316.94
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 $61.64 / $100.40 / $214.76	Professional		$61.64	$100.40	$214.76
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 $52.07 / $85.51 / $178.15	Professional		$52.07	$85.51	$178.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.21 / $67.62 / $159.30	Facility		$57.21	$67.62	$159.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $86.18 / $206.12	Professional		$49.25	$86.18	$206.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $66.68 / $118.73	Professional		$51.20	$66.68	$118.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $84.29 / $149.84	Professional		$47.52	$84.29	$149.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $217.99 / $230.28	Facility		$55.00	$217.99	$230.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $592.16 / $698.03	Professional		$351.00	$592.16	$698.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $83.51 / $129.06	Facility		$54.96	$83.51	$129.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $91.20 / $206.12	Professional		$52.75	$91.20	$206.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $156.46 / $259.83	Professional		$156.46	$156.46	$259.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $77.73 / $109.88	Professional		$47.26	$77.73	$109.88
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $6,920.00	Facility		$510.00	$1,506.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $88.14 / $253.07	Professional		$62.13	$88.14	$253.07