Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.40 / $4,749.00 / $16,125.00	Facility		$153.40	$4,749.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $146.72 / $770.11	Professional		$131.71	$146.72	$770.11
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 $140.29 / $175.14 / $354.19	Professional		$140.29	$175.14	$354.19
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 $113.79 / $162.55 / $390.61	Professional		$113.79	$162.55	$390.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $185.77 / $379.39	Professional		$149.38	$185.77	$379.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $170.22 / $212.78	Professional		$141.85	$170.22	$212.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.03 / $185.69 / $330.58	Professional		$139.03	$185.69	$330.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $681.22 / $706.33 / $12,000.00	Facility		$681.22	$706.33	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.88 / $1,289.93 / $1,389.28	Professional		$1,048.88	$1,289.93	$1,389.28
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 $139.01 / $180.52 / $240.69	Facility		$139.01	$180.52	$240.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $190.91 / $381.92	Professional		$149.38	$190.91	$381.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $477.84 / $477.84 / $507.90	Professional		$477.84	$477.84	$507.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $178.88 / $268.32	Professional		$135.75	$178.88	$268.32
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 $126.46 / $168.63 / $346.30	Professional		$126.46	$168.63	$346.30