Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $6,695.00 / $18,293.00	Facility		$71.23	$6,695.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $71.23 / $319.52	Professional		$61.80	$71.23	$319.52
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 $72.19 / $106.74 / $205.23	Professional		$72.19	$106.74	$205.23
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 $51.45 / $68.20 / $164.30	Professional		$51.45	$68.20	$164.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.90 / $62.52 / $63.93	Facility		$46.90	$62.52	$63.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $88.37 / $179.83	Professional		$62.59	$88.37	$179.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $98.76 / $179.15	Professional		$72.80	$98.76	$179.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $85.42 / $158.69	Professional		$61.26	$85.42	$158.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $441.96 / $450.06	Facility		$55.00	$441.96	$450.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $472.96 / $561.28 / $633.60	Professional		$472.96	$561.28	$633.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.91 / $91.90 / $134.31	Facility		$66.91	$91.90	$134.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $93.46 / $187.01	Professional		$64.56	$93.46	$187.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $198.25 / $198.25 / $237.92	Professional		$198.25	$198.25	$237.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $155.26 / $268.73	Professional		$66.17	$155.26	$268.73
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,495.00 / $5,830.00	Facility		$421.00	$1,495.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $78.23 / $188.86	Professional		$57.96	$78.23	$188.86