Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,702.00 / $16,109.00	Facility		$344.00	$4,702.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $211.06 / $570.27	Professional		$132.91	$211.06	$570.27
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 $128.22 / $199.38 / $445.81	Professional		$128.22	$199.38	$445.81
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 $119.14 / $179.26 / $374.52	Professional		$119.14	$179.26	$374.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $231.58 / $467.71	Professional		$146.55	$231.58	$467.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $203.19 / $342.56	Professional		$126.58	$203.19	$342.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.72 / $248.44 / $440.09	Professional		$152.72	$248.44	$440.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $684.26 / $9,102.00 / $11,500.00	Facility		$684.26	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.83 / $1,655.36 / $1,930.13	Professional		$1,089.83	$1,655.36	$1,930.13
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 $144.84 / $214.08 / $340.36	Facility		$144.84	$214.08	$340.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $244.63 / $469.87	Professional		$149.81	$244.63	$469.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $488.44 / $488.44 / $762.53	Professional		$488.44	$488.44	$762.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.77 / $196.24 / $287.33	Professional		$141.77	$196.24	$287.33
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 $170.69 / $229.25 / $524.66	Professional		$170.69	$229.25	$524.66