Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.25 / $4,013.00 / $15,795.00	Facility		$271.25	$4,013.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $233.58 / $508.65	Professional		$157.50	$233.58	$508.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $238.09 / $538.07	Professional		$158.41	$238.09	$538.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $251.99 / $518.70	Professional		$171.75	$251.99	$518.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.99 / $294.69 / $569.27	Professional		$188.99	$294.69	$569.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $256.89 / $444.05	Professional		$171.26	$256.89	$444.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.61 / $322.67 / $571.71	Professional		$192.61	$322.67	$571.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $882.20 / $2,000.00 / $12,000.00	Facility		$882.20	$2,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,370.00 / $2,147.76 / $2,525.85	Professional		$1,370.00	$2,147.76	$2,525.85
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 $164.59 / $259.64 / $444.05	Facility		$164.59	$259.64	$444.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.67 / $307.38 / $596.37	Professional		$191.67	$307.38	$596.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $615.48 / $615.48 / $973.73	Professional		$615.48	$615.48	$973.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.97 / $244.71 / $388.75	Professional		$177.97	$244.71	$388.75
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,830.00	Facility		$587.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.66 / $286.81 / $737.73	Professional		$218.66	$286.81	$737.73