Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $66.39 / $1,014.43	Facility		$40.22	$66.39	$1,014.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $61.82 / $133.12	Professional		$39.44	$61.82	$133.12
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 $40.44 / $61.19 / $138.93	Professional		$40.44	$61.19	$138.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,596.84	Facility		$65.90	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $68.20 / $135.94	Professional		$45.60	$68.20	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $72.29 / $141.71	Professional		$45.75	$72.29	$141.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $55.92 / $116.18	Professional		$32.02	$55.92	$116.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $82.31 / $149.63	Professional		$45.19	$82.31	$149.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $207.37 / $218.93	Facility		$55.00	$207.37	$218.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $327.84 / $578.40 / $680.55	Professional		$327.84	$578.40	$680.55
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 $43.26 / $66.14 / $114.36	Facility		$43.26	$66.14	$114.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $75.75 / $150.40	Professional		$46.03	$75.75	$150.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $148.75 / $240.11	Professional		$148.75	$148.75	$240.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $52.49 / $87.98	Professional		$35.86	$52.49	$87.98
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 $55.74 / $71.34 / $175.41	Professional		$55.74	$71.34	$175.41