Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.16 / $5,505.00 / $16,713.00	Facility		$132.16	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $36.84 / $106.61	Professional		$22.14	$36.84	$106.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $35.85 / $87.55	Professional		$22.04	$35.85	$87.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,177.85	Facility		$66.00	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $45.43 / $86.65	Professional		$24.73	$45.43	$86.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $27.37 / $1,992.00	Facility		$27.32	$27.37	$1,992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $41.25 / $79.34	Professional		$25.30	$41.25	$79.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $29.47 / $44.82	Professional		$21.97	$29.47	$44.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $35.03 / $63.80	Professional		$24.11	$35.03	$63.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $110.49 / $118.85	Facility		$55.00	$110.49	$118.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $178.24 / $200.70 / $824.00	Professional		$178.24	$200.70	$824.00
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 $28.27 / $38.22 / $56.24	Facility		$28.27	$38.22	$56.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $44.34 / $82.55	Professional		$25.47	$44.34	$82.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $82.01 / $104.85	Professional		$82.01	$82.01	$104.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $30.75 / $41.49	Professional		$24.34	$30.75	$41.49
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $38.40 / $75.09	Professional		$25.75	$38.40	$75.09