Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.78 / $9,029.00 / $20,509.00	Facility		$203.78	$9,029.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $41.57 / $164.47	Professional		$35.63	$41.57	$164.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $56.27 / $109.85	Professional		$39.24	$56.27	$109.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $49.88 / $111.60	Professional		$37.29	$49.88	$111.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $43.55 / $43.55	Facility		$43.55	$43.55	$43.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $51.41 / $153.41	Professional		$37.89	$51.41	$153.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $61.22 / $314.08	Professional		$43.73	$61.22	$314.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $45.48 / $80.12	Professional		$35.22	$45.48	$80.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $2,000.00	Facility		$55.00	$2,000.00	$2,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,174.30 / $3,744.05 / $3,867.61	Professional		$2,174.30	$3,744.05	$3,867.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $55.22	Professional		$32.34	$32.34	$55.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $53.88 / $407.56	Facility		$36.72	$53.88	$407.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.38 / $111.00	Professional		$38.90	$58.38	$111.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $126.43 / $126.43	Professional		$126.43	$126.43	$126.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $48.57 / $495.09	Professional		$35.32	$48.57	$495.09
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $5,830.00	Facility		$545.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $47.61 / $143.44	Professional		$32.47	$47.61	$143.44