Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.72 / $5,505.00 / $16,210.00	Facility		$457.72	$5,505.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.99 / $346.14 / $944.31	Professional		$280.99	$346.14	$944.31
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 $273.37 / $365.55 / $774.67	Professional		$273.37	$365.55	$774.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,010.49	Facility		$65.90	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $232.86 / $332.66 / $759.15	Professional		$232.86	$332.66	$759.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $415.63 / $851.98	Professional		$305.00	$415.63	$851.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $425.27 / $553.37	Professional		$278.48	$425.27	$553.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.75 / $439.21 / $755.76	Professional		$319.75	$439.21	$755.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,194.80 / $6,817.20 / $16,394.00	Facility		$2,194.80	$6,817.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.19 / $2,796.00 / $3,257.03	Professional		$2,321.19	$2,796.00	$3,257.03
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 $311.02 / $412.35 / $568.15	Facility		$311.02	$412.35	$568.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $435.72 / $888.52	Professional		$305.27	$435.72	$888.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,051.33 / $1,051.33 / $1,277.33	Professional		$1,051.33	$1,051.33	$1,277.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $298.61 / $401.01 / $512.19	Professional		$298.61	$401.01	$512.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,955.00 / $7,163.00 / $14,601.00	Facility		$3,955.00	$7,163.00	$14,601.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.26 / $392.67 / $860.48	Professional		$291.26	$392.67	$860.48