Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $9,639.00 / $20,509.00	Facility		$99.90	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $99.90 / $571.05	Professional		$89.85	$99.90	$571.05
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 $113.95 / $173.86 / $332.94	Professional		$113.95	$173.86	$332.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $118.47 / $292.39	Professional		$87.41	$118.47	$292.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $138.28 / $410.34	Professional		$104.22	$138.28	$410.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $114.01 / $136.81	Professional		$57.26	$114.01	$136.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $137.26 / $242.44	Professional		$105.53	$137.26	$242.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $244.30 / $1,300.00	Facility		$55.00	$244.30	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.76 / $796.48 / $972.98	Professional		$794.76	$796.48	$972.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.36 / $134.38 / $195.17	Facility		$103.36	$134.38	$195.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $141.76 / $300.47	Professional		$105.62	$141.76	$300.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.33 / $354.33 / $354.33	Professional		$354.33	$354.33	$354.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $97.34 / $126.17	Professional		$57.26	$97.34	$126.17
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,506.00 / $6,323.00	Facility		$466.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $134.47 / $377.04	Professional		$91.84	$134.47	$377.04