Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.47 / $4,848.00 / $16,125.00	Facility		$94.47	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $86.51 / $477.13	Professional		$76.92	$86.51	$477.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $96.49 / $194.46	Professional		$74.28	$96.49	$194.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,238.60	Facility		$65.80	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $96.60 / $216.67	Professional		$71.45	$96.60	$216.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $107.59 / $214.21	Professional		$83.68	$107.59	$214.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $110.52 / $133.10	Professional		$84.88	$110.52	$133.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $116.69 / $204.23	Professional		$87.04	$116.69	$204.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.21 / $436.76 / $12,000.00	Facility		$407.21	$436.76	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $640.40 / $758.33 / $831.00	Professional		$640.40	$758.33	$831.00
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 $82.79 / $112.81 / $150.19	Facility		$82.79	$112.81	$150.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $113.46 / $229.36	Professional		$85.20	$113.46	$229.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $296.04 / $296.04 / $321.29	Professional		$296.04	$296.04	$321.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $109.36 / $160.57	Professional		$84.88	$109.36	$160.57
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,523.00 / $6,323.00	Facility		$587.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $100.10 / $240.58	Professional		$77.22	$100.10	$240.58