Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.46 / $4,932.00 / $16,210.00	Facility		$223.46	$4,932.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $133.80 / $501.30	Professional		$97.15	$133.80	$501.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $139.10 / $299.60	Professional		$99.41	$139.10	$299.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.33 / $295.79	Professional		$100.00	$141.33	$295.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $161.16 / $306.86	Professional		$112.91	$161.16	$306.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $144.37 / $225.55	Professional		$60.31	$144.37	$225.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.75 / $168.24 / $296.00	Professional		$111.75	$168.24	$296.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $757.20 / $1,300.00 / $16,394.00	Facility		$757.20	$1,300.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $799.20 / $1,123.68 / $1,321.35	Professional		$799.20	$1,123.68	$1,321.35
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 $103.47 / $148.85 / $227.45	Facility		$103.47	$148.85	$227.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.50 / $167.77 / $313.18	Professional		$113.50	$167.77	$313.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $503.46	Professional		$358.00	$358.00	$503.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $113.99 / $208.77	Professional		$78.41	$113.99	$208.77
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,533.00 / $5,830.00	Facility		$570.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $152.09 / $449.52	Professional		$115.77	$152.09	$449.52