Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $74.81 / $862.24	Facility		$72.19	$74.81	$862.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $74.81 / $366.93	Professional		$62.53	$74.81	$366.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,539.00 / $9,381.00	Facility		$1,759.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $112.25 / $214.09	Professional		$74.70	$112.25	$214.09
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 $58.04 / $77.61 / $185.09	Professional		$58.04	$77.61	$185.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.09 / $49.75 / $117.20	Facility		$42.09	$49.75	$117.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $91.33 / $268.64	Professional		$67.58	$91.33	$268.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $85.03 / $102.04	Professional		$50.67	$85.03	$102.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $94.19 / $167.38	Professional		$72.45	$94.19	$167.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $161.47 / $1,300.00	Facility		$55.00	$161.47	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $501.12 / $519.52 / $607.73	Professional		$501.12	$519.52	$607.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $92.32 / $125.50	Facility		$72.45	$92.32	$125.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $94.72 / $200.34	Professional		$67.58	$94.72	$200.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $227.67 / $227.67 / $227.67	Professional		$227.67	$227.67	$227.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $76.01 / $94.39	Professional		$50.67	$76.01	$94.39
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,506.00 / $6,323.00	Facility		$421.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $83.37 / $217.53	Professional		$57.74	$83.37	$217.53