Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.67 / $4,848.00 / $16,210.00	Facility		$171.67	$4,848.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.48 / $148.62 / $585.36	Professional		$89.48	$148.62	$585.36
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 $137.62 / $201.32 / $387.25	Professional		$137.62	$201.32	$387.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $221.94 / $426.33	Professional		$152.18	$221.94	$426.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $184.05 / $338.84	Professional		$101.62	$184.05	$338.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $122.41 / $252.42	Professional		$96.06	$122.41	$252.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $180.16 / $330.82	Professional		$90.44	$180.16	$330.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $633.72 / $2,000.00 / $16,394.00	Facility		$633.72	$2,000.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $694.63 / $1,344.11 / $1,500.15	Professional		$694.63	$1,344.11	$1,500.15
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 $97.55 / $171.58 / $284.95	Facility		$97.55	$171.58	$284.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $191.87 / $339.84	Professional		$105.09	$191.87	$339.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $305.61 / $305.61 / $555.66	Professional		$305.61	$305.61	$555.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $142.81 / $231.56	Professional		$87.08	$142.81	$231.56
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,533.00 / $5,830.00	Facility		$570.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $187.53 / $461.05	Professional		$132.53	$187.53	$461.05