Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.17 / $4,848.00 / $16,008.00	Facility		$318.17	$4,848.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $93.54 / $305.98	Professional		$66.62	$93.54	$305.98
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 $68.22 / $98.47 / $212.99	Professional		$68.22	$98.47	$212.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $1,596.84	Facility		$65.80	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $99.88 / $206.33	Professional		$71.93	$99.88	$206.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $100.02 / $192.73	Professional		$60.43	$100.02	$192.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.23 / $79.95 / $136.07	Professional		$59.23	$79.95	$136.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $96.27 / $177.54	Professional		$54.55	$96.27	$177.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $249.77 / $265.38	Facility		$55.00	$249.77	$265.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $680.48 / $791.40	Professional		$408.00	$680.48	$791.40
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 $63.13 / $101.34 / $147.76	Facility		$63.13	$101.34	$147.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $105.37 / $200.00	Professional		$61.09	$105.37	$200.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $180.80 / $180.80 / $310.63	Professional		$180.80	$180.80	$310.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $99.08 / $138.72	Professional		$54.62	$99.08	$138.72
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,523.00 / $6,323.00	Facility		$587.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $96.84 / $212.45	Professional		$72.81	$96.84	$212.45