Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $5,829.00 / $22,788.00	Facility		$20.87	$5,829.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $53.37 / $129.71	Professional		$17.46	$53.37	$129.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $24.98 / $28.19	Facility		$21.53	$24.98	$28.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $38.22 / $99.43	Professional		$21.30	$38.22	$99.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.68 / $139.87 / $234.27	Facility		$98.68	$139.87	$234.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $42.60 / $100.00	Professional		$29.82	$42.60	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $50.00 / $679.75	Facility		$29.04	$50.00	$679.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $37.42 / $146.22	Professional		$23.39	$37.42	$146.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $77.97 / $157.05	Professional		$21.22	$77.97	$157.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.43 / $135.35 / $135.35	Facility		$105.43	$135.35	$135.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $300.37 / $537.69 / $694.50	Professional		$300.37	$537.69	$694.50
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 $21.92 / $49.58 / $129.97	Facility		$21.92	$49.58	$129.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $74.09 / $205.82	Professional		$50.80	$74.09	$205.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $266.86	Professional		$73.31	$73.31	$266.86
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $74.25 / $219.06	Professional		$39.15	$74.25	$219.06