Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $3,546.09 / $15,522.00	Facility		$30.90	$3,546.09	$15,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $28.64 / $251.99	Professional		$15.41	$28.64	$251.99
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 $15.54 / $29.22 / $70.48	Professional		$15.54	$29.22	$70.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.81 / $52.93 / $65.79	Professional	50	$33.81	$52.93	$65.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $325.56 / $809.87	Facility		$96.60	$325.56	$809.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $34.04 / $71.48	Professional		$18.94	$34.04	$71.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $39.45 / $82.32	Professional		$22.55	$39.45	$82.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $30.37 / $56.47	Professional		$14.52	$30.37	$56.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $41.17 / $73.13	Professional		$24.43	$41.17	$73.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $112.04 / $118.66	Facility		$55.00	$112.04	$118.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $178.72 / $205.43 / $332.70	Professional		$178.72	$205.43	$332.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $35.74 / $57.81	Facility		$22.91	$35.74	$57.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $41.31 / $82.54	Professional		$22.57	$41.31	$82.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $85.05 / $135.54	Professional		$85.05	$85.05	$135.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $26.14 / $52.27	Professional		$18.88	$26.14	$52.27
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $40.81 / $94.46	Professional		$30.25	$40.81	$94.46