Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $4,436.00 / $16,008.00	Facility		$28.91	$4,436.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $23.35 / $80.73	Professional		$14.71	$23.35	$80.73
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 $14.91 / $25.00 / $54.77	Professional		$14.91	$25.00	$54.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $25.99 / $37.77 / $42.37	Professional	50	$25.99	$37.77	$42.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $1,847.20	Facility		$65.80	$100.00	$1,847.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $28.08 / $60.27	Professional		$17.39	$28.08	$60.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $27.88 / $51.51	Professional		$17.42	$27.88	$51.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $21.23 / $34.45	Professional		$14.15	$21.23	$34.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $25.58 / $45.36	Professional		$16.57	$25.58	$45.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $75.68 / $80.94	Facility		$55.00	$75.68	$80.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,376.87 / $3,511.94 / $3,930.43	Professional		$3,376.87	$3,511.94	$3,930.43
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 $16.14 / $23.82 / $36.57	Facility		$16.14	$23.82	$36.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $29.40 / $51.51	Professional		$17.87	$29.40	$51.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $56.32 / $85.17	Professional		$56.32	$56.32	$85.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $23.19 / $31.90	Professional		$14.66	$23.19	$31.90
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 $20.79 / $28.42 / $75.89	Professional		$20.79	$28.42	$75.89