Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $4,848.00 / $16,125.00	Facility		$122.22	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.26 / $110.45 / $561.89	Professional		$98.26	$110.45	$561.89
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 $97.79 / $125.32 / $252.14	Professional		$97.79	$125.32	$252.14
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 $92.09 / $124.56 / $288.44	Professional		$92.09	$124.56	$288.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $135.08 / $274.74	Professional		$108.31	$135.08	$274.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $128.97 / $164.19	Professional		$109.46	$128.97	$164.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $136.82 / $239.61	Professional		$100.94	$136.82	$239.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $493.51 / $511.86 / $12,000.00	Facility		$493.51	$511.86	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $760.48 / $1,010.71 / $1,021.50	Professional		$760.48	$1,010.71	$1,021.50
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 $102.50 / $134.77 / $179.70	Facility		$102.50	$134.77	$179.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $140.58 / $281.83	Professional		$108.31	$140.58	$281.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $348.64 / $348.64 / $379.89	Professional		$348.64	$348.64	$379.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $138.03 / $207.05	Professional		$101.61	$138.03	$207.05
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 $93.92 / $125.23 / $282.92	Professional		$93.92	$125.23	$282.92