Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.94 / $1,080.00 / $13,916.00	Facility		$125.94	$1,080.00	$13,916.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $117.29 / $449.49	Professional		$62.92	$117.29	$449.49
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 $99.64 / $148.81 / $281.36	Professional		$99.64	$148.81	$281.36
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 $106.79 / $166.13 / $311.02	Professional		$106.79	$166.13	$311.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $131.79 / $244.99	Professional		$62.98	$131.79	$244.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $79.34 / $168.58	Professional		$58.78	$79.34	$168.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $119.42 / $219.89	Professional		$55.41	$119.42	$219.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $388.80 / $400.08	Facility		$55.00	$388.80	$400.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $991.50 / $1,039.46	Professional		$585.00	$991.50	$1,039.46
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 $62.92 / $117.75 / $203.10	Facility		$62.92	$117.75	$203.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $134.16 / $244.99	Professional		$66.13	$134.16	$244.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $187.31 / $187.31 / $376.05	Professional		$187.31	$187.31	$376.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $111.02 / $156.00	Professional		$55.37	$111.02	$156.00
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $131.59 / $286.20	Professional		$90.44	$131.59	$286.20