Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $58.24 / $193.42	Facility		$39.61	$58.24	$193.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $47.86 / $109.76	Professional		$24.30	$47.86	$109.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $54.63 / $113.47	Professional		$28.04	$54.63	$113.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $27.94 / $34.99 / $60.72	Professional	50	$27.94	$34.99	$60.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $64.90 / $114.52	Professional		$43.44	$64.90	$114.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Facility		$56.00	$56.00	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $46.74 / $83.42	Professional		$21.82	$46.74	$83.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $35.74 / $48.47	Professional		$19.84	$35.74	$48.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $31.21 / $55.84	Professional		$17.86	$31.21	$55.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $100.40 / $111.59	Facility		$55.00	$100.40	$111.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $179.79 / $338.34 / $379.37	Professional		$179.79	$338.34	$379.37
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 $21.22 / $38.29 / $74.50	Facility		$21.22	$38.29	$74.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $48.11 / $80.09	Professional		$22.79	$48.11	$80.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $61.84 / $102.72	Professional		$61.84	$61.84	$102.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $32.65 / $64.33	Professional		$18.05	$32.65	$64.33
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 $23.76 / $45.76 / $79.20	Professional		$23.76	$45.76	$79.20