Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.20 / $4,848.00 / $16,125.00	Facility		$189.20	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $172.43 / $675.60	Professional		$104.42	$172.43	$675.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $161.49 / $357.46	Professional		$99.06	$161.49	$357.46
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 $92.15 / $150.38 / $310.88	Professional		$92.15	$150.38	$310.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $189.64 / $395.21	Professional		$116.76	$189.64	$395.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $167.10 / $296.64	Professional		$69.25	$167.10	$296.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.93 / $214.26 / $379.44	Professional		$124.93	$214.26	$379.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $558.60 / $9,102.00 / $11,500.00	Facility		$558.60	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $889.52 / $1,419.20 / $1,656.75	Professional		$889.52	$1,419.20	$1,656.75
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 $106.35 / $172.29 / $290.77	Facility		$106.35	$172.29	$290.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.45 / $200.32 / $401.27	Professional		$117.45	$200.32	$401.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $396.10 / $396.10 / $654.55	Professional		$396.10	$396.10	$654.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $122.26 / $224.79	Professional		$77.56	$122.26	$224.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,731.00 / $7,655.00	Facility		$1,198.00	$2,731.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.86 / $196.35 / $501.20	Professional		$145.86	$196.35	$501.20