Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $3,025.00 / $14,472.00	Facility		$196.19	$3,025.00	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $159.55 / $591.51	Professional		$90.04	$159.55	$591.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $142.34 / $335.39	Professional		$83.10	$142.34	$335.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,619.88	Facility		$65.90	$100.00	$1,619.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $158.61 / $313.74	Professional		$89.89	$158.61	$313.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $182.89 / $433.03	Professional		$103.00	$182.89	$433.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $146.12 / $382.70	Professional		$55.10	$146.12	$382.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $254.78 / $476.67	Professional		$108.36	$254.78	$476.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $725.46 / $744.24	Facility		$55.00	$725.46	$744.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $926.27 / $1,760.40 / $2,078.63	Professional		$926.27	$1,760.40	$2,078.63
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 $90.60 / $159.55 / $356.70	Facility		$90.60	$159.55	$356.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $192.72 / $485.12	Professional		$104.27	$192.72	$485.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $337.96 / $337.96 / $703.41	Professional		$337.96	$337.96	$703.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $102.62 / $290.08	Professional		$61.71	$102.62	$290.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,753.00 / $7,655.00	Facility		$1,410.00	$2,753.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.57 / $199.54 / $540.19	Professional		$145.57	$199.54	$540.19