Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.56 / $6,695.00 / $20,135.00	Facility		$89.56	$6,695.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $89.56 / $360.00	Professional		$56.85	$89.56	$360.00
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 $75.23 / $113.70 / $244.88	Professional		$75.23	$113.70	$244.88
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 $64.38 / $97.01 / $203.13	Professional		$64.38	$97.01	$203.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $70.51 / $166.12	Facility		$59.67	$70.51	$166.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $98.54 / $232.32	Professional		$61.18	$98.54	$232.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $79.34 / $129.97	Professional		$61.04	$79.34	$129.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $94.61 / $164.03	Professional		$56.48	$94.61	$164.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $258.85 / $274.08	Facility		$55.00	$258.85	$274.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $409.84 / $655.60 / $769.50	Professional		$409.84	$655.60	$769.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $97.48 / $144.22	Facility		$65.45	$97.48	$144.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $104.29 / $231.00	Professional		$62.60	$104.29	$231.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $188.84 / $292.23	Professional		$188.84	$188.84	$292.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $84.97 / $120.29	Professional		$56.29	$84.97	$120.29
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 $70.17 / $105.16 / $359.85	Professional		$70.17	$105.16	$359.85