Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $165.78 / $2,256.58	Facility		$45.20	$165.78	$2,256.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $129.40 / $275.98	Professional		$45.20	$129.40	$275.98
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 $67.36 / $194.96 / $461.85	Professional		$67.36	$194.96	$461.85
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 $46.14 / $110.43 / $244.57	Professional		$46.14	$110.43	$244.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $125.72 / $278.37	Professional		$50.89	$125.72	$278.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $93.20 / $118.21	Professional		$37.95	$93.20	$118.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $43.27 / $81.20	Professional		$34.15	$43.27	$81.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.30 / $5,294.00 / $5,294.00	Facility		$81.30	$5,294.00	$5,294.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $395.65 / $704.68 / $704.68	Professional		$395.65	$704.68	$704.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $50.72 / $202.85	Facility		$36.82	$50.72	$202.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $134.16 / $278.37	Professional		$50.89	$134.16	$278.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $166.84 / $166.84 / $409.67	Professional		$166.84	$166.84	$409.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $118.21 / $177.31	Professional		$35.38	$118.21	$177.31
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 $99.40 / $159.02 / $335.18	Professional		$99.40	$159.02	$335.18