Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.95 / $4,702.00 / $16,125.00	Facility		$92.95	$4,702.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.86 / $85.20 / $326.66	Professional		$57.86	$85.20	$326.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $86.95 / $207.58	Professional		$57.84	$86.95	$207.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $976.31 / $2,428.67	Facility		$96.60	$976.31	$2,428.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $96.69 / $205.68	Professional		$67.68	$96.69	$205.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $122.51 / $252.82	Professional		$80.56	$122.51	$252.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $117.70 / $163.58	Professional		$54.36	$117.70	$163.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $130.66 / $219.87	Professional		$92.12	$130.66	$219.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $437.49 / $461.04	Facility		$55.00	$437.49	$461.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $686.24 / $815.03 / $1,024.34	Professional		$686.24	$815.03	$1,024.34
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 $82.75 / $120.05 / $171.88	Facility		$82.75	$120.05	$171.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $127.92 / $256.07	Professional		$80.56	$127.92	$256.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $315.33 / $315.33 / $395.88	Professional		$315.33	$315.33	$395.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $97.84 / $151.25	Professional		$70.66	$97.84	$151.25
United Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $1,523.00 / $6,323.00	Facility		$585.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $120.02 / $269.69	Professional		$90.38	$120.02	$269.69