Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $104.71 / $1,380.38	Facility		$37.15	$104.71	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $38.02 / $83.18	Professional		$18.20	$38.02	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $104.71	Professional		$31.62	$54.95	$104.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $28.18 / $40.74 / $97.72	Professional	50	$28.18	$40.74	$97.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $162.18 / $1,778.28	Facility		$66.07	$162.18	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $114.82	Professional		$36.31	$61.66	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $77.62	Professional		$21.38	$42.66	$77.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $44.67	Professional		$17.38	$29.51	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.20 / $56.23	Professional		$15.85	$30.20	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $323.59	Professional		$288.40	$288.40	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $41.69	Professional		$24.55	$24.55	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.02 / $70.79	Facility		$19.05	$38.02	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $77.62	Professional		$21.88	$43.65	$77.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $102.33	Professional		$61.66	$61.66	$102.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $37.15 / $56.23	Professional		$15.85	$37.15	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.88 / $64.57	Professional		$16.60	$33.88	$64.57