Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.72 / $352.39 / $352.39	Facility		$282.72	$352.39	$352.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.34 / $282.72 / $604.45	Professional		$162.34	$282.72	$604.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $6,706.00 / $13,707.00	Facility		$2,629.00	$6,706.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.96 / $209.53 / $479.28	Professional		$139.96	$209.53	$479.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $367.18 / $2,048.92 / $4,228.77	Facility		$367.18	$2,048.92	$4,228.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $71.37 / $181.87	Professional		$40.64	$71.37	$181.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $91.76 / $132.33	Professional		$91.76	$91.76	$132.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $249.43 / $316.35	Professional		$72.39	$249.43	$316.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $73.06 / $139.87	Professional		$57.30	$73.06	$139.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $357.64 / $626.00 / $3,408.68	Facility		$357.64	$626.00	$3,408.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.90 / $2,708.00 / $2,708.00	Professional		$1,858.90	$2,708.00	$2,708.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $103.76 / $514.60	Facility		$67.36	$103.76	$514.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $67.63 / $138.19	Professional		$53.11	$67.63	$138.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $453.77 / $680.65	Professional		$65.75	$453.77	$680.65
United Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $87.59 / $249.22	Professional		$43.79	$87.59	$249.22