Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,109.00	Facility		$344.00	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.67 / $209.40 / $785.00	Professional		$123.67	$209.40	$785.00
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 $126.86 / $197.61 / $441.72	Professional		$126.86	$197.61	$441.72
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 $117.81 / $177.65 / $371.85	Professional		$117.81	$177.65	$371.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.02 / $230.16 / $465.36	Professional		$145.02	$230.16	$465.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $201.93 / $341.24	Professional		$79.30	$201.93	$341.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $247.31 / $438.04	Professional		$151.47	$247.31	$438.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $678.18 / $9,102.00 / $11,500.00	Facility		$678.18	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.40 / $1,647.84 / $1,916.63	Professional		$1,082.40	$1,647.84	$1,916.63
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 $133.69 / $207.12 / $339.62	Facility		$133.69	$207.12	$339.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.79 / $242.40 / $465.84	Professional		$148.79	$242.40	$465.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $485.44 / $485.44 / $759.53	Professional		$485.44	$485.44	$759.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $141.85 / $258.58	Professional		$88.82	$141.85	$258.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,753.00 / $7,655.00	Facility		$1,410.00	$2,753.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.71 / $228.20 / $522.54	Professional		$164.71	$228.20	$522.54