Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.88 / $5,382.00 / $16,713.00	Facility		$287.88	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.23 / $263.32 / $548.21	Professional		$177.23	$263.32	$548.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $4,814.00 / $10,536.00	Facility		$1,988.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.75 / $277.30 / $609.13	Professional		$179.75	$277.30	$609.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,255.89	Facility		$66.00	$100.00	$7,255.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $197.72 / $302.50 / $612.07	Professional		$197.72	$302.50	$612.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.79 / $317.26 / $604.41	Professional		$207.79	$317.26	$604.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $250.13 / $433.54	Professional		$172.00	$250.13	$433.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.66 / $315.06 / $560.65	Professional		$191.66	$315.06	$560.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $898.56 / $931.67	Facility		$55.00	$898.56	$931.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,405.33 / $3,541.54 / $3,990.65	Professional		$3,405.33	$3,541.54	$3,990.65
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 $186.40 / $279.13 / $449.31	Facility		$186.40	$279.13	$449.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.44 / $339.88 / $604.41	Professional		$209.44	$339.88	$604.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $647.10 / $647.10 / $1,020.97	Professional		$647.10	$647.10	$1,020.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $281.98 / $401.18	Professional		$172.00	$281.98	$401.18
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $9,810.00 / $21,278.00	Facility		$5,670.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.11 / $322.27 / $761.30	Professional		$241.11	$322.27	$761.30