Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.93 / $4,399.50 / $16,109.00	Facility		$154.93	$4,399.50	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $64.06 / $165.15	Professional		$31.30	$64.06	$165.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $39.90 / $4,604.00	Facility		$32.02	$39.90	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $59.08 / $130.41	Professional		$32.95	$59.08	$130.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.21 / $94.53 / $140.66	Professional	50	$46.21	$94.53	$140.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $60.42 / $123.42	Professional		$41.49	$60.42	$123.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $66.41 / $158.72	Professional		$31.14	$66.41	$158.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.40 / $136.63	Professional		$26.81	$36.40	$136.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $82.91 / $171.15	Professional		$27.78	$82.91	$171.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $135.80 / $162.55	Facility		$55.00	$135.80	$162.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $643.20 / $741.30	Professional		$373.00	$643.20	$741.30
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 $32.06 / $60.08 / $128.56	Facility		$32.06	$60.08	$128.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $68.40 / $172.16	Professional		$32.24	$68.40	$172.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $96.14 / $271.64	Professional		$96.14	$96.14	$271.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $43.95 / $126.62	Professional		$26.81	$43.95	$126.62
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $5,830.00	Facility		$548.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $76.34 / $187.16	Professional		$55.78	$76.34	$187.16