Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $57.49 / $16,863.00	Facility		$52.92	$57.49	$16,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $57.49 / $312.45	Professional		$50.20	$57.49	$312.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,931.00 / $12,953.00	Facility		$2,137.00	$5,931.00	$12,953.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $94.65 / $202.81	Professional		$62.08	$94.65	$202.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.50 / $91.00 / $24,547.00	Facility		$65.50	$91.00	$24,547.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $56.54 / $130.36	Professional		$39.97	$56.54	$130.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $74.61 / $187.89	Professional		$58.75	$74.61	$187.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $56.08 / $72.90	Professional		$47.63	$56.08	$72.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $63.78 / $119.78	Professional		$50.47	$63.78	$119.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $119.88 / $5,294.00 / $5,294.00	Facility		$119.88	$5,294.00	$5,294.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $460.35 / $588.60 / $612.15	Professional		$460.35	$588.60	$612.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $65.91 / $90.03	Facility		$52.92	$65.91	$90.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $73.05 / $173.29	Professional		$58.75	$73.05	$173.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $193.87 / $193.87 / $193.87	Professional		$193.87	$193.87	$193.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $62.13 / $90.62	Professional		$47.63	$62.13	$90.62
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $7,068.00	Facility		$548.00	$1,551.00	$7,068.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $71.20 / $163.03	Professional		$49.84	$71.20	$163.03