Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $4,848.00 / $16,125.00	Facility		$81.91	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $70.23 / $212.25	Professional		$46.25	$70.23	$212.25
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 $48.29 / $75.84 / $171.78	Professional		$48.29	$75.84	$171.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,177.85	Facility		$65.80	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $72.26 / $139.59	Professional		$45.59	$72.26	$139.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $81.20 / $160.63	Professional		$51.15	$81.20	$160.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $75.73 / $119.09	Professional		$56.10	$75.73	$119.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $86.81 / $151.91	Professional		$49.58	$86.81	$151.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $224.03 / $245.01	Facility		$55.00	$224.03	$245.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $361.60 / $406.88 / $1,070.26	Professional		$361.60	$406.88	$1,070.26
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 $48.72 / $74.62 / $124.05	Facility		$48.72	$74.62	$124.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $85.79 / $161.97	Professional		$51.15	$85.79	$161.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $167.35 / $167.35 / $257.51	Professional		$167.35	$167.35	$257.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $80.22 / $110.31	Professional		$45.31	$80.22	$110.31
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $80.12 / $181.43	Professional		$60.09	$80.12	$181.43