Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.04 / $5,382.00 / $16,573.00	Facility		$246.04	$5,382.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $218.56 / $595.58	Professional		$149.15	$218.56	$595.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $211.62 / $473.62	Professional		$150.18	$211.62	$473.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.77 / $206.81 / $459.04	Professional		$144.77	$206.81	$459.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.15 / $261.07 / $501.18	Professional		$179.15	$261.07	$501.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $239.99 / $386.47	Professional		$117.65	$239.99	$386.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.07 / $285.70 / $499.99	Professional		$183.07	$285.70	$499.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $835.40 / $6,817.20 / $16,394.00	Facility		$835.40	$6,817.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.52 / $1,874.88 / $2,242.94	Professional		$1,285.52	$1,874.88	$2,242.94
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 $177.49 / $262.75 / $386.47	Facility		$177.49	$262.75	$386.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.40 / $270.45 / $514.44	Professional		$181.40	$270.45	$514.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $575.54 / $575.54 / $838.81	Professional		$575.54	$575.54	$838.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $211.76 / $357.68	Professional		$152.94	$211.76	$357.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,454.00 / $15,471.00	Facility		$3,842.00	$7,454.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.80 / $252.21 / $578.44	Professional		$189.80	$252.21	$578.44