Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $3,111.74 / $14,472.00	Facility		$365.00	$3,111.74	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $181.43 / $522.79	Professional		$105.72	$181.43	$522.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $175.27 / $391.79	Professional		$112.61	$175.27	$391.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $165.01 / $362.52	Professional		$115.51	$165.01	$362.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $200.54 / $378.35	Professional		$125.09	$200.54	$378.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $150.78 / $276.83	Professional		$100.52	$150.78	$276.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $196.88 / $350.42	Professional		$111.34	$196.88	$350.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $499.54 / $553.38	Facility		$55.00	$499.54	$553.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $978.00 / $1,331.92 / $1,545.75	Professional		$978.00	$1,331.92	$1,545.75
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 $116.79 / $180.01 / $293.87	Facility		$116.79	$180.01	$293.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.66 / $212.21 / $384.25	Professional		$126.66	$212.21	$384.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $375.66 / $375.66 / $647.35	Professional		$375.66	$375.66	$647.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $142.56 / $228.18	Professional		$103.68	$142.56	$228.18
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $200.20 / $506.80	Professional		$148.50	$200.20	$506.80