Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.06 / $4,848.00 / $16,125.00	Facility		$193.06	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $168.42 / $702.92	Professional		$106.01	$168.42	$702.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $164.71 / $364.82	Professional		$100.79	$164.71	$364.82
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 $93.76 / $147.94 / $306.12	Professional		$93.76	$147.94	$306.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $192.27 / $397.84	Professional		$118.41	$192.27	$397.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $168.20 / $297.23	Professional		$84.51	$168.20	$297.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.90 / $214.80 / $380.42	Professional		$125.90	$214.80	$380.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $563.14 / $9,102.00 / $11,500.00	Facility		$563.14	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $895.76 / $1,423.04 / $1,663.43	Professional		$895.76	$1,423.04	$1,663.43
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 $109.77 / $178.50 / $291.19	Facility		$109.77	$178.50	$291.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $201.99 / $403.15	Professional		$118.92	$201.99	$403.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $400.30 / $400.30 / $657.56	Professional		$400.30	$400.30	$657.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $138.55 / $225.23	Professional		$94.65	$138.55	$225.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $191.76 / $453.29	Professional		$146.63	$191.76	$453.29