Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.47 / $5,382.00 / $16,713.00	Facility		$286.47	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $263.72 / $980.96	Professional		$183.09	$263.72	$980.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $4,734.00 / $9,589.00	Facility		$1,894.00	$4,734.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $279.38 / $634.29	Professional		$184.50	$279.38	$634.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.26 / $303.86 / $623.71	Professional		$204.26	$303.86	$623.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.37 / $341.18 / $653.72	Professional		$223.37	$341.18	$653.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.21 / $277.10 / $483.58	Professional		$177.21	$277.10	$483.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.98 / $357.65 / $634.73	Professional		$220.98	$357.65	$634.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,507.44 / $1,536.60	Facility		$55.00	$1,507.44	$1,536.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.84 / $1,873.13 / $2,871.68	Professional		$1,591.84	$1,873.13	$2,871.68
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 $213.35 / $315.25 / $490.72	Facility		$213.35	$315.25	$490.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.37 / $357.49 / $661.76	Professional		$226.37	$357.49	$661.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $734.47 / $734.47 / $1,117.95	Professional		$734.47	$734.47	$1,117.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.36 / $290.52 / $447.48	Professional		$194.36	$290.52	$447.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.41 / $347.24 / $997.84	Professional		$258.41	$347.24	$997.84