Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $5,308.00 / $16,713.00	Facility		$927.00	$5,308.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $42.01 / $139.02	Professional		$39.27	$42.01	$139.02
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 $39.18 / $54.45 / $126.75	Professional		$39.18	$54.45	$126.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,238.60	Facility		$65.90	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $52.90 / $118.19	Professional		$39.96	$52.90	$118.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $56.75 / $131.86	Professional		$43.79	$56.75	$131.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $52.51 / $64.45	Professional		$47.74	$52.51	$64.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $54.98 / $99.94	Professional		$39.86	$54.98	$99.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,343.85	Facility		$55.00	$55.00	$1,343.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $573.14 / $622.48 / $643.02	Professional		$573.14	$622.48	$643.02
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 $41.64 / $54.97 / $128.09	Facility		$41.64	$54.97	$128.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $57.75 / $123.99	Professional		$43.98	$57.75	$123.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $149.55 / $149.55 / $149.55	Professional		$149.55	$149.55	$149.55
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 $36.18 / $48.36 / $101.28	Professional		$36.18	$48.36	$101.28