Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $4,848.00 / $16,125.00	Facility		$156.75	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $145.63 / $404.87	Professional		$116.38	$145.63	$404.87
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 $115.62 / $153.30 / $333.62	Professional		$115.62	$153.30	$333.62
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 $101.05 / $144.35 / $344.81	Professional		$101.05	$144.35	$344.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $184.28 / $382.68	Professional		$137.94	$184.28	$382.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $190.20 / $256.30	Professional		$125.84	$190.20	$256.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.90 / $198.66 / $339.84	Professional		$141.90	$198.66	$339.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $662.32 / $2,000.00 / $12,000.00	Facility		$662.32	$2,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.24 / $1,268.72 / $1,488.60	Professional		$1,018.24	$1,268.72	$1,488.60
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 $136.31 / $183.60 / $258.82	Facility		$136.31	$183.60	$258.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.24 / $191.65 / $382.68	Professional		$139.24	$191.65	$382.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $454.80 / $454.80 / $561.79	Professional		$454.80	$454.80	$561.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $181.21 / $237.25	Professional		$133.55	$181.21	$237.25
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 $128.25 / $166.60 / $361.89	Professional		$128.25	$166.60	$361.89