Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.89 / $9,639.00 / $20,509.00	Facility		$289.89	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $60.28 / $289.89	Professional		$51.50	$60.28	$289.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $83.50 / $168.57	Professional		$50.65	$83.50	$168.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $97.00 / $222.10	Facility		$50.60	$97.00	$222.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $65.09 / $153.65	Professional		$50.25	$65.09	$153.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $71.73 / $218.55	Professional		$55.97	$71.73	$218.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.08 / $62.79 / $74.20	Professional		$57.08	$62.79	$74.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $67.70 / $120.15	Professional		$51.99	$67.70	$120.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.92 / $504.30 / $504.30	Facility		$122.92	$504.30	$504.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $812.00 / $812.00	Professional		$812.00	$812.00	$812.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $72.76 / $136.51	Facility		$55.91	$72.76	$136.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $71.58 / $158.71	Professional		$56.30	$71.58	$158.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $179.87 / $179.87	Professional		$179.87	$179.87	$179.87
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $63.62 / $161.69	Professional		$45.64	$63.62	$161.69