Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.33 / $6,695.00 / $20,135.00	Facility		$46.33	$6,695.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $46.32 / $131.13	Professional		$28.10	$46.32	$131.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $34.08 / $89.76	Facility		$28.19	$34.08	$89.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $53.73 / $126.81	Professional		$31.15	$53.73	$126.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $51.66 / $111.26	Professional		$35.67	$51.66	$111.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $46.42 / $124.72	Professional		$46.42	$46.42	$124.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $48.51 / $75.06	Professional		$35.93	$48.51	$75.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $54.38 / $95.93	Professional		$32.70	$54.38	$95.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $169.72 / $169.72	Facility		$80.00	$169.72	$169.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $205.61 / $327.13 / $435.83	Professional		$205.61	$327.13	$435.83
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 $36.47 / $55.36 / $83.55	Facility		$36.47	$55.36	$83.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $46.42 / $124.19	Professional		$46.42	$46.42	$124.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $107.34 / $163.84	Professional		$107.34	$107.34	$163.84
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $57.38 / $174.66	Professional		$41.04	$57.38	$174.66