Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.14 / $5,382.00 / $16,713.00	Facility		$217.14	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $186.13 / $823.39	Professional		$122.33	$186.13	$823.39
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 $124.87 / $197.25 / $562.76	Professional		$124.87	$197.25	$562.76
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 $134.18 / $191.69 / $394.57	Professional		$134.18	$191.69	$394.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $216.66 / $416.48	Professional		$139.69	$216.66	$416.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $203.45 / $295.39	Professional		$150.69	$203.45	$295.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $213.13 / $402.37	Professional		$134.63	$213.13	$402.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $610.08 / $2,003.00 / $16,394.00	Facility		$610.08	$2,003.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.00 / $2,266.96 / $2,266.96	Professional		$2,089.00	$2,266.96	$2,266.96
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 $137.78 / $212.64 / $331.18	Facility		$137.78	$212.64	$331.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $225.32 / $434.25	Professional		$140.41	$225.32	$434.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $448.20 / $448.20 / $692.23	Professional		$448.20	$448.20	$692.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.03 / $234.75 / $352.13	Professional		$136.03	$234.75	$352.13
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 $162.13 / $215.64 / $618.54	Professional		$162.13	$215.64	$618.54