Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $3,989.00 / $15,795.00	Facility		$31.18	$3,989.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $23.87 / $121.40	Professional		$10.53	$23.87	$121.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $12.85 / $33.84	Facility		$10.63	$12.85	$33.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $30.01 / $109.89	Professional		$12.29	$30.01	$109.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,550.84	Facility		$65.90	$100.00	$1,550.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $73.61 / $160.50	Professional		$51.53	$73.61	$160.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $32.15 / $91.07	Professional		$11.41	$32.15	$91.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $54.58 / $80.20	Professional		$26.12	$54.58	$80.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $45.87 / $84.60	Professional		$23.85	$45.87	$84.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $134.81 / $134.81	Facility		$109.00	$134.81	$134.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $169.50 / $372.75 / $376.33	Professional		$169.50	$372.75	$376.33
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 $22.39 / $38.86 / $75.47	Facility		$22.39	$38.86	$75.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $40.11 / $91.07	Professional		$12.54	$40.11	$91.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $83.11 / $151.63	Professional		$83.11	$83.11	$151.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $60.65 / $101.73	Professional		$23.72	$60.65	$101.73
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $47.28 / $107.93	Professional		$24.40	$47.28	$107.93