Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $5,980.00 / $16,973.00	Facility		$1,169.00	$5,980.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $150.68 / $785.89	Professional		$132.93	$150.68	$785.89
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 $208.87 / $283.89 / $526.35	Professional		$208.87	$283.89	$526.35
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 $137.77 / $199.61 / $456.97	Professional		$137.77	$199.61	$456.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $221.88 / $479.35	Professional		$152.19	$221.88	$479.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $210.57 / $390.92	Professional		$155.97	$210.57	$390.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $183.79 / $380.00	Professional		$135.13	$183.79	$380.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $854.46 / $11,500.00 / $16,394.00	Facility		$854.46	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,380.89 / $2,380.89 / $2,380.89	Professional		$2,380.89	$2,380.89	$2,380.89
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 $142.94 / $188.47 / $430.68	Facility		$142.94	$188.47	$430.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $241.02 / $405.22	Professional		$152.19	$241.02	$405.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $487.61 / $487.61 / $487.61	Professional		$487.61	$487.61	$487.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $410.81 / $616.22	Professional		$141.35	$410.81	$616.22
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 $121.26 / $179.20 / $410.55	Professional		$121.26	$179.20	$410.55