Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $4,363.00 / $16,008.00	Facility		$41.00	$4,363.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $29.34 / $89.85	Professional		$21.10	$29.34	$89.85
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 $21.14 / $31.44 / $70.73	Professional		$21.14	$31.44	$70.73
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 $24.05 / $34.36 / $81.86	Professional		$24.05	$34.36	$81.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $36.34 / $68.61	Professional		$25.48	$36.34	$68.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $30.73 / $45.29	Professional		$20.48	$30.73	$45.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $34.40 / $60.22	Professional		$24.05	$34.40	$60.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $112.04 / $119.42	Facility		$55.00	$112.04	$119.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,210.02 / $2,298.42 / $2,685.33	Professional		$2,210.02	$2,298.42	$2,685.33
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 $23.77 / $32.35 / $49.21	Facility		$23.77	$32.35	$49.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $38.76 / $68.61	Professional		$25.62	$38.76	$68.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $83.20 / $110.85	Professional		$83.20	$83.20	$110.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $30.48 / $41.91	Professional		$21.57	$30.48	$41.91
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 $26.53 / $35.67 / $75.42	Professional		$26.53	$35.67	$75.42