Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $6,516.00 / $18,293.00	Facility		$46.75	$6,516.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $81.59 / $432.00	Professional		$20.43	$81.59	$432.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $22.90 / $60.32	Facility		$18.94	$22.90	$60.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $71.95 / $176.21	Professional		$20.51	$71.95	$176.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,981.41	Facility		$63.50	$100.00	$5,981.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $76.80 / $159.57	Professional		$28.58	$76.80	$159.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $88.09 / $88.09	Professional		$88.09	$88.09	$88.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $20.03 / $157.16	Professional		$14.84	$20.03	$157.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $93.18 / $195.97	Professional		$14.02	$93.18	$195.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $197.04 / $305.86	Facility		$197.04	$197.04	$305.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $437.17 / $813.12 / $835.65	Professional		$437.17	$813.12	$835.65
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 $16.26 / $79.56 / $157.21	Facility		$16.26	$79.56	$157.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $88.09 / $238.08	Professional		$35.31	$88.09	$238.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.02 / $60.02 / $359.36	Professional		$60.02	$60.02	$359.36
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 $78.42 / $103.02 / $238.58	Professional		$78.42	$103.02	$238.58