Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $3,989.00 / $15,795.00	Facility		$143.41	$3,989.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $130.72 / $493.57	Professional		$63.99	$130.72	$493.57
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 $58.49 / $113.14 / $267.45	Professional		$58.49	$113.14	$267.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,596.84	Facility		$65.90	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $105.95 / $208.88	Professional		$57.50	$105.95	$208.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $152.01 / $333.01	Professional		$76.28	$152.01	$333.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $130.19 / $252.64	Professional		$52.87	$130.19	$252.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $174.00 / $316.95	Professional		$95.93	$174.00	$316.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $426.91 / $481.08	Facility		$55.00	$426.91	$481.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $686.16 / $1,191.92 / $1,379.40	Professional		$686.16	$1,191.92	$1,379.40
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 $67.65 / $128.19 / $248.13	Facility		$67.65	$128.19	$248.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $165.43 / $342.42	Professional		$76.28	$165.43	$342.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $306.24 / $306.24 / $565.91	Professional		$306.24	$306.24	$565.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $93.34 / $191.52	Professional		$59.21	$93.34	$191.52
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $158.40 / $390.55	Professional		$112.60	$158.40	$390.55