Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.57 / $5,324.00 / $16,573.00	Facility		$350.57	$5,324.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.70 / $320.45 / $790.39	Professional		$188.70	$320.45	$790.39
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 $182.25 / $294.22 / $669.07	Professional		$182.25	$294.22	$669.07
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 $178.22 / $270.26 / $584.84	Professional		$178.22	$270.26	$584.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $347.92 / $657.88	Professional		$211.70	$347.92	$657.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $285.89 / $571.52	Professional		$108.34	$285.89	$571.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.18 / $393.54 / $723.94	Professional		$218.18	$393.54	$723.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,475.04 / $2,000.00 / $16,394.00	Facility		$1,475.04	$2,000.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.56 / $2,741.92 / $3,217.73	Professional		$1,558.56	$2,741.92	$3,217.73
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 $196.27 / $301.10 / $551.70	Facility		$196.27	$301.10	$551.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.24 / $374.19 / $734.72	Professional		$215.24	$374.19	$734.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $698.97 / $698.97 / $1,232.72	Professional		$698.97	$698.97	$1,232.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $221.76 / $529.27	Professional		$140.84	$221.76	$529.27
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 $271.08 / $360.40 / $907.80	Professional		$271.08	$360.40	$907.80