Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,399.50 / $16,109.00	Facility		$344.00	$4,399.50	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $132.58 / $342.94	Professional		$81.44	$132.58	$342.94
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 $83.35 / $133.91 / $297.62	Professional		$83.35	$133.91	$297.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $137.74 / $281.54	Professional		$96.42	$137.74	$281.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $146.78 / $288.95	Professional		$94.48	$146.78	$288.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $119.60 / $204.66	Professional		$98.49	$119.60	$204.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $149.29 / $265.41	Professional		$91.14	$149.29	$265.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $417.83 / $442.32	Facility		$55.00	$417.83	$442.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.60 / $1,036.24 / $1,215.68	Professional		$661.60	$1,036.24	$1,215.68
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 $91.14 / $134.51 / $211.51	Facility		$91.14	$134.51	$211.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $155.12 / $307.99	Professional		$94.69	$155.12	$307.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $303.70 / $474.41	Professional		$303.70	$303.70	$474.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $129.57 / $189.40	Professional		$79.73	$129.57	$189.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,761.00 / $7,655.00	Facility		$1,410.00	$2,761.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $145.93 / $346.71	Professional		$111.28	$145.93	$346.71