Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.41 / $3,838.91 / $16,125.00	Facility		$199.41	$3,838.91	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $163.15 / $648.00	Professional		$87.70	$163.15	$648.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $102.83 / $4,604.00	Facility		$82.49	$102.83	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.30 / $136.84 / $303.43	Professional		$88.30	$136.84	$303.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $1,596.84	Facility		$65.80	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $145.11 / $279.01	Professional		$100.00	$145.11	$279.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $144.74 / $275.83	Professional		$88.61	$144.74	$275.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $112.43 / $156.40	Professional		$78.47	$112.43	$156.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $114.05 / $209.51	Professional		$72.15	$114.05	$209.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $330.03 / $350.84	Facility		$55.00	$330.03	$350.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $33.00 / $35.08 / $35.08	Facility	AS	$33.00	$35.08	$35.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $521.12 / $820.00 / $930.83	Professional		$521.12	$820.00	$930.83
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 $82.53 / $123.46 / $188.98	Facility		$82.53	$123.46	$188.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $36.79 / $36.79 / $36.79	Facility	AS	$36.79	$36.79	$36.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $148.71 / $275.52	Professional		$93.10	$148.71	$275.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $242.66 / $383.31	Professional		$242.66	$242.66	$383.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $116.93 / $168.65	Professional		$71.20	$116.93	$168.65
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 $94.08 / $134.10 / $291.17	Professional		$94.08	$134.10	$291.17