Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.25 / $4,848.00 / $16,125.00	Facility		$155.25	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $152.41 / $844.26	Professional		$133.00	$152.41	$844.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.53 / $186.62 / $384.46	Professional		$145.53	$186.62	$384.46
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 $125.57 / $179.39 / $426.97	Professional		$125.57	$179.39	$426.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $198.98 / $405.37	Professional		$154.19	$198.98	$405.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $188.98 / $236.22	Professional		$157.47	$188.98	$236.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $204.82 / $360.04	Professional		$151.68	$204.82	$360.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.78 / $769.22 / $12,000.00	Facility		$741.78	$769.22	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.56 / $1,516.65 / $1,528.58	Professional		$1,142.56	$1,516.65	$1,528.58
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 $147.43 / $201.42 / $267.93	Facility		$147.43	$201.42	$267.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $208.26 / $418.96	Professional		$158.47	$208.26	$418.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $523.84 / $523.84 / $568.32	Professional		$523.84	$523.84	$568.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $152.06 / $198.60 / $297.89	Professional		$152.06	$198.60	$297.89
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 $135.52 / $181.95 / $386.99	Professional		$135.52	$181.95	$386.99