Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.70 / $4,363.00 / $16,008.00	Facility		$98.70	$4,363.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $37.14 / $161.13	Professional		$22.71	$37.14	$161.13
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 $24.16 / $37.81 / $77.19	Professional		$24.16	$37.81	$77.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,177.85	Facility		$65.80	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $39.93 / $92.34	Professional		$28.62	$39.93	$92.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $36.97 / $69.05	Professional		$19.80	$36.97	$69.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $21.53 / $47.96	Professional		$14.89	$21.53	$47.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $33.47 / $61.95	Professional		$16.51	$33.47	$61.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $75.68 / $80.51	Facility		$55.00	$75.68	$80.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $238.08 / $271.50	Professional		$163.00	$238.08	$271.50
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 $19.22 / $37.15 / $55.31	Facility		$19.22	$37.15	$55.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $38.14 / $76.47	Professional		$20.03	$38.14	$76.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $56.53 / $110.63	Professional		$56.53	$56.53	$110.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $20.85 / $36.35	Professional		$14.89	$20.85	$36.35
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $36.00 / $80.81	Professional		$26.60	$36.00	$80.81