Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.18 / $81.69 / $496.90	Facility		$79.18	$81.69	$496.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $99.76 / $415.47	Professional		$74.62	$99.76	$415.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $157.28 / $591.40	Professional		$100.81	$157.28	$591.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $110.23 / $271.52	Professional		$78.88	$110.23	$271.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $114.71 / $352.49	Professional		$89.97	$114.71	$352.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $92.32 / $133.37	Professional		$88.91	$92.32	$133.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $111.44 / $198.01	Professional		$85.59	$111.44	$198.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $339.60 / $9,496.40	Facility		$55.00	$339.60	$9,496.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $116.74 / $201.60	Facility		$89.37	$116.74	$201.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $116.07 / $251.80	Professional		$89.96	$116.07	$251.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $287.25 / $287.25 / $287.25	Professional		$287.25	$287.25	$287.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $102.15 / $151.15	Professional		$83.57	$102.15	$151.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $112.32 / $324.88	Professional		$76.80	$112.32	$324.88