Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.03 / $4,749.00 / $16,125.00	Facility		$69.03	$4,749.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $62.71 / $221.99	Professional		$38.27	$62.71	$221.99
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 $38.26 / $65.53 / $145.09	Professional		$38.26	$65.53	$145.09
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 $44.44 / $72.09 / $139.11	Professional		$44.44	$72.09	$139.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.11 / $75.56 / $143.15	Professional		$46.11	$75.56	$143.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $54.74 / $114.77	Professional		$36.49	$54.74	$114.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $81.06 / $147.46	Professional		$43.23	$81.06	$147.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $198.29 / $209.24	Facility		$55.00	$198.29	$209.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,932.96 / $3,050.27 / $3,512.93	Professional		$2,932.96	$3,050.27	$3,512.93
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 $41.54 / $66.48 / $115.86	Facility		$41.54	$66.48	$115.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $81.15 / $155.62	Professional		$46.30	$81.15	$155.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $145.78 / $258.77	Professional		$145.78	$145.78	$258.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $59.81 / $106.21	Professional		$37.50	$59.81	$106.21
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 $58.76 / $79.94 / $178.00	Professional		$58.76	$79.94	$178.00