Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $7,000.00 / $18,293.00	Facility		$65.18	$7,000.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $61.09 / $274.14	Professional		$41.47	$61.09	$274.14
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 $44.34 / $68.52 / $153.78	Professional		$44.34	$68.52	$153.78
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 $48.23 / $76.56 / $146.13	Professional		$48.23	$76.56	$146.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $79.17 / $155.87	Professional		$51.05	$79.17	$155.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $78.34 / $120.31	Professional		$58.03	$78.34	$120.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $88.26 / $155.00	Professional		$52.32	$88.26	$155.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $237.65 / $256.02	Facility		$55.00	$237.65	$256.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $544.00 / $610.91 / $702.75	Professional		$544.00	$610.91	$702.75
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 $52.32 / $79.90 / $127.28	Facility		$52.32	$79.90	$127.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $83.77 / $158.84	Professional		$51.05	$83.77	$158.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $260.25	Professional		$170.08	$170.08	$260.25
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,533.00 / $5,830.00	Facility		$570.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $79.09 / $170.62	Professional		$58.76	$79.09	$170.62