Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.41 / $5,505.00 / $16,713.00	Facility		$404.41	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $372.76 / $1,057.00	Professional		$239.68	$372.76	$1,057.00
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 $231.09 / $356.79 / $805.32	Professional		$231.09	$356.79	$805.32
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 $250.83 / $377.05 / $776.12	Professional		$250.83	$377.05	$776.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.01 / $432.11 / $799.49	Professional		$277.01	$432.11	$799.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $367.54 / $633.02	Professional		$158.22	$367.54	$633.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.52 / $455.45 / $822.45	Professional		$285.52	$455.45	$822.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,928.94 / $2,250.10 / $16,394.00	Facility		$1,928.94	$2,250.10	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,025.68 / $3,106.48 / $3,695.70	Professional		$2,025.68	$3,106.48	$3,695.70
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 $258.87 / $385.24 / $633.02	Facility		$258.87	$385.24	$633.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.93 / $449.94 / $836.27	Professional		$279.93	$449.94	$836.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $911.87 / $911.87 / $1,415.57	Professional		$911.87	$911.87	$1,415.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $290.10 / $585.86	Professional		$205.70	$290.10	$585.86
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,533.00 / $5,830.00	Facility		$570.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.57 / $422.77 / $974.25	Professional		$321.57	$422.77	$974.25