Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.40 / $2,592.00 / $13,916.00	Facility		$158.40	$2,592.00	$13,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $115.77 / $469.47	Professional		$70.79	$115.77	$469.47
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 $111.04 / $161.90 / $311.83	Professional		$111.04	$161.90	$311.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,588.01	Facility		$65.90	$100.00	$1,588.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $178.13 / $341.67	Professional		$121.84	$178.13	$341.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $143.10 / $270.00	Professional		$78.18	$143.10	$270.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $100.97 / $190.68	Professional		$76.28	$100.97	$190.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $135.57 / $249.31	Professional		$71.17	$135.57	$249.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $492.96 / $509.10	Facility		$55.00	$492.96	$509.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $619.00 / $1,072.34 / $1,126.65	Professional		$619.00	$1,072.34	$1,126.65
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 $76.00 / $133.55 / $225.53	Facility		$76.00	$133.55	$225.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $149.11 / $270.00	Professional		$78.67	$149.11	$270.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $236.24 / $236.24 / $421.37	Professional		$236.24	$236.24	$421.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $117.80 / $176.45	Professional		$69.17	$117.80	$176.45
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $140.22 / $308.95	Professional		$100.90	$140.22	$308.95