Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.10 / $5,227.00 / $16,713.00	Facility		$186.10	$5,227.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $51.70 / $160.88	Professional		$33.21	$51.70	$160.88
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 $34.25 / $53.65 / $123.30	Professional		$34.25	$53.65	$123.30
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 $39.61 / $61.02 / $113.88	Professional		$39.61	$61.02	$113.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $38.19 / $1,992.00	Facility		$38.11	$38.19	$1,992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $57.70 / $110.87	Professional		$36.61	$57.70	$110.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $43.19 / $62.56	Professional		$34.25	$43.19	$62.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $49.73 / $89.15	Professional		$33.89	$49.73	$89.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $154.38 / $166.06	Facility		$55.00	$154.38	$166.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $248.96 / $280.43 / $1,030.00	Professional		$248.96	$280.43	$1,030.00
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 $39.77 / $53.35 / $78.19	Facility		$39.77	$53.35	$78.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $62.53 / $111.39	Professional		$37.40	$62.53	$111.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $115.46 / $146.71	Professional		$115.46	$115.46	$146.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $47.38 / $61.65	Professional		$34.01	$47.38	$61.65
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 $36.11 / $54.02 / $110.70	Professional		$36.11	$54.02	$110.70