Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.63 / $4,848.00 / $16,125.00	Facility		$84.63	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $81.92 / $477.13	Professional		$70.50	$81.92	$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 $68.95 / $93.11 / $187.71	Professional		$68.95	$93.11	$187.71
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 $66.34 / $92.38 / $218.73	Professional		$66.34	$92.38	$218.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $104.44 / $221.39	Professional		$82.55	$104.44	$221.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $108.69 / $133.10	Professional		$78.93	$108.69	$133.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $116.34 / $204.23	Professional		$86.44	$116.34	$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 / $819.68	Professional		$640.40	$758.33	$819.68
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 $79.81 / $110.34 / $147.88	Facility		$79.81	$110.34	$147.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $109.04 / $226.70	Professional		$83.89	$109.04	$226.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $296.04 / $296.04 / $317.68	Professional		$296.04	$296.04	$317.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $109.36 / $149.30	Professional		$79.54	$109.36	$149.30
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $95.37 / $237.78	Professional		$73.63	$95.37	$237.78