Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.50 / $5,382.00 / $16,713.00	Facility		$140.50	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $118.87 / $406.52	Professional		$60.97	$118.87	$406.52
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 $62.94 / $121.42 / $288.80	Professional		$62.94	$121.42	$288.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $6,929.19	Facility		$65.80	$100.00	$6,929.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $123.80 / $244.45	Professional		$70.65	$123.80	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $130.63 / $245.69	Professional		$70.80	$130.63	$245.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $111.69 / $186.62	Professional		$75.20	$111.69	$186.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $130.30 / $238.25	Professional		$68.42	$130.30	$238.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $311.83 / $2,000.00 / $16,394.00	Facility		$311.83	$2,000.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $1,510.76 / $1,510.76	Professional		$1,392.00	$1,510.76	$1,510.76
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 $65.16 / $115.61 / $195.45	Facility		$65.16	$115.61	$195.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $136.97 / $252.71	Professional		$70.89	$136.97	$252.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $227.51 / $227.51 / $447.50	Professional		$227.51	$227.51	$447.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $141.35 / $211.28	Professional		$68.25	$141.35	$211.28
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $5,691.00	Facility		$587.00	$1,533.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $138.96 / $308.33	Professional		$104.22	$138.96	$308.33