Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.49 / $7,000.00 / $18,293.00	Facility		$142.49	$7,000.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $142.49 / $364.61	Professional		$83.70	$142.49	$364.61
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 $84.99 / $142.30 / $312.47	Professional		$84.99	$142.30	$312.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $131.91 / $273.81	Professional		$91.33	$131.91	$273.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $164.92 / $372.28	Professional		$98.23	$164.92	$372.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $123.75 / $268.49	Professional		$54.73	$123.75	$268.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.65 / $185.10 / $340.59	Professional		$95.65	$185.10	$340.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $432.95 / $471.49	Facility		$55.00	$432.95	$471.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $695.92 / $1,299.52 / $1,504.88	Professional		$695.92	$1,299.52	$1,504.88
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 $91.22 / $146.79 / $268.49	Facility		$91.22	$146.79	$268.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $174.22 / $376.22	Professional		$98.68	$174.22	$376.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $320.57 / $320.57 / $615.10	Professional		$320.57	$320.57	$615.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $96.62 / $203.46	Professional		$61.30	$96.62	$203.46
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $179.18 / $467.06	Professional		$131.41	$179.18	$467.06