Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.81 / $4,848.00 / $16,109.00	Facility		$82.81	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $82.81 / $412.15	Professional		$65.22	$82.81	$412.15
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 $74.61 / $108.14 / $219.91	Professional		$74.61	$108.14	$219.91
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 $52.68 / $69.51 / $170.28	Professional		$52.68	$69.51	$170.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.41 / $79.61 / $555.00	Facility		$58.41	$79.61	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $95.76 / $206.10	Professional		$66.93	$95.76	$206.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $111.07 / $144.76	Professional		$82.61	$111.07	$144.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $94.50 / $180.00	Professional		$68.04	$94.50	$180.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $488.82 / $502.50	Facility		$55.00	$488.82	$502.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $845.36 / $845.36	Professional		$587.00	$845.36	$845.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.59 / $102.06 / $145.54	Facility		$74.59	$102.06	$145.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $103.55 / $212.55	Professional		$67.29	$103.55	$212.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $227.10 / $271.58	Professional		$227.10	$227.10	$271.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $112.22 / $228.18	Professional		$75.11	$112.22	$228.18
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 $63.66 / $84.93 / $193.92	Professional		$63.66	$84.93	$193.92