Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $2,170.31 / $13,916.00	Facility		$41.26	$2,170.31	$13,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $39.00 / $141.28	Professional		$21.82	$39.00	$141.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $38.27 / $86.99	Professional		$23.78	$38.27	$86.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.61 / $51.71 / $71.92	Professional	50	$34.61	$51.71	$71.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $1,596.84	Facility		$64.40	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $38.82 / $91.40	Professional		$27.25	$38.82	$91.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $44.31 / $90.86	Professional		$25.75	$44.31	$90.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $34.49 / $65.90	Professional		$25.55	$34.49	$65.90
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $204.00 / $204.00	Professional		$204.00	$204.00	$204.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $46.09 / $84.40	Professional		$23.46	$46.09	$84.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $107.50 / $114.52	Facility		$55.00	$107.50	$114.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.76 / $328.48 / $373.43	Professional		$175.76	$328.48	$373.43
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 $23.97 / $41.15 / $68.11	Facility		$23.97	$41.15	$68.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $45.42 / $91.69	Professional		$26.02	$45.42	$91.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $81.06 / $149.59	Professional		$81.06	$81.06	$149.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $44.40 / $61.05	Professional		$23.70	$44.40	$61.05
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 $34.02 / $45.76 / $110.59	Professional		$34.02	$45.76	$110.59