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 $150.58 / $171.12 / $889.68	Professional		$150.58	$171.12	$889.68
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 $253.55 / $344.63 / $687.93	Professional		$253.55	$344.63	$687.93
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 $164.73 / $238.16 / $532.99	Professional		$164.73	$238.16	$532.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.28 / $260.17 / $561.21	Professional		$172.28	$260.17	$561.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $176.23 / $237.91 / $456.15	Professional		$176.23	$237.91	$456.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $207.83 / $376.78	Professional		$152.97	$207.83	$376.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $967.98 / $11,500.00 / $16,394.00	Facility		$967.98	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,475.00 / $2,475.00 / $2,475.00	Professional		$2,475.00	$2,475.00	$2,475.00
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 $162.22 / $212.93 / $424.90	Facility		$162.22	$212.93	$424.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.28 / $283.82 / $460.03	Professional		$172.28	$283.82	$460.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $552.03 / $552.03 / $552.03	Professional		$552.03	$552.03	$552.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $479.36 / $719.04	Professional		$159.69	$479.36	$719.04
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 $137.51 / $196.93 / $485.09	Professional		$137.51	$196.93	$485.09