Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.37 / $5,382.00 / $16,713.00	Facility		$235.37	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.40 / $215.19 / $669.81	Professional		$139.40	$215.19	$669.81
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 $149.50 / $225.93 / $500.83	Professional		$149.50	$225.93	$500.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $186.24 / $401.46	Professional		$130.37	$186.24	$401.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.84 / $238.90 / $477.40	Professional		$153.84	$238.90	$477.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $205.91 / $349.80	Professional		$90.47	$205.91	$349.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $254.48 / $450.84	Professional		$155.96	$254.48	$450.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $717.80 / $774.20	Facility		$55.00	$717.80	$774.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.64 / $1,709.20 / $1,973.85	Professional		$1,124.64	$1,709.20	$1,973.85
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 $153.27 / $220.97 / $349.80	Facility		$153.27	$220.97	$349.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $248.97 / $490.17	Professional		$155.96	$248.97	$490.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.03 / $512.03 / $775.31	Professional		$512.03	$512.03	$775.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $159.53 / $265.08	Professional		$101.33	$159.53	$265.08
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.89 / $233.10 / $516.13	Professional		$174.89	$233.10	$516.13