Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $86.86 / $1,827.00	Facility		$36.59	$86.86	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $37.60 / $193.27	Professional		$34.20	$37.60	$193.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $395.78 / $876.00	Facility		$19.34	$395.78	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $58.47 / $223.54	Professional		$39.78	$58.47	$223.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $616.33	Facility		$57.50	$100.00	$616.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $57.08 / $140.38	Professional		$44.83	$57.08	$140.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.02 / $87.94 / $104.17	Facility		$78.02	$87.94	$104.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $91.37 / $289.29	Professional		$37.63	$91.37	$289.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $101.90 / $132.47	Professional		$101.90	$101.90	$132.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $111.59 / $204.42	Professional		$82.66	$111.59	$204.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.19 / $361.81 / $421.28	Facility		$166.19	$361.81	$421.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $898.00 / $898.00 / $898.00	Professional		$898.00	$898.00	$898.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $106.43 / $159.84	Facility		$60.47	$106.43	$159.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $95.08 / $214.74	Professional		$39.40	$95.08	$214.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $253.43 / $253.43 / $253.43	Professional		$253.43	$253.43	$253.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $113.32 / $113.32	Professional		$82.42	$113.32	$113.32
United Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $77.59 / $254.42	Professional		$36.08	$77.59	$254.42