Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $4,397.00 / $15,747.00	Facility		$411.00	$4,397.00	$15,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $144.97 / $360.63	Professional		$102.35	$144.97	$360.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $4,734.00 / $9,589.00	Facility		$1,894.00	$4,734.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $140.55 / $314.11	Professional		$97.53	$140.55	$314.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $129.86 / $300.52	Professional		$97.71	$129.86	$300.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $173.37 / $340.72	Professional		$118.93	$173.37	$340.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $162.97 / $252.12	Professional		$49.89	$162.97	$252.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.87 / $185.39 / $325.93	Professional		$121.87	$185.39	$325.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $558.16 / $607.29	Facility		$55.00	$558.16	$607.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $867.04 / $1,222.56 / $1,426.05	Professional		$867.04	$1,222.56	$1,426.05
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 $104.78 / $155.13 / $252.12	Facility		$104.78	$155.13	$252.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.05 / $177.26 / $344.40	Professional		$121.05	$177.26	$344.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.78 / $389.78 / $562.89	Professional		$389.78	$389.78	$562.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $94.37 / $191.03	Professional		$55.87	$94.37	$191.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $164.90 / $387.23	Professional		$124.74	$164.90	$387.23