Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $4,941.00 / $17,054.00	Facility		$49.68	$4,941.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $50.51 / $216.78	Professional		$34.20	$50.51	$216.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $62.77 / $120.30	Professional		$40.89	$62.77	$120.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $57.01 / $113.82	Professional		$39.90	$57.01	$113.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $63.07 / $167.97	Professional		$41.28	$63.07	$167.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $87.55 / $181.70	Professional		$45.88	$87.55	$181.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $61.94 / $120.00	Professional		$40.79	$61.94	$120.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $278.27 / $715.03	Facility		$55.00	$278.27	$715.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $715.03 / $1,042.04 / $2,001.13	Professional		$715.03	$1,042.04	$2,001.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $61.57 / $104.00	Facility		$42.32	$61.57	$104.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $67.45 / $167.97	Professional		$42.31	$67.45	$167.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $134.49 / $195.80	Professional		$134.49	$134.49	$195.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $149.84 / $259.33	Professional		$41.68	$149.84	$259.33
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $6,323.00	Facility		$510.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $59.50 / $129.97	Professional		$45.90	$59.50	$129.97