Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.53 / $4,848.00 / $16,125.00	Facility		$247.53	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $224.47 / $665.09	Professional		$153.03	$224.47	$665.09
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 $165.37 / $242.40 / $524.40	Professional		$165.37	$242.40	$524.40
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 $138.40 / $197.72 / $428.20	Professional		$138.40	$197.72	$428.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.57 / $254.38 / $494.77	Professional		$169.57	$254.38	$494.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $224.96 / $361.43	Professional		$100.52	$224.96	$361.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $267.10 / $467.43	Professional		$170.68	$267.10	$467.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,158.06 / $1,175.76	Facility		$55.00	$1,158.06	$1,175.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.28 / $1,780.00 / $2,053.35	Professional		$1,231.28	$1,780.00	$2,053.35
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 $161.94 / $235.68 / $365.15	Facility		$161.94	$235.68	$365.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.70 / $265.33 / $518.37	Professional		$170.70	$265.33	$518.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $558.96 / $558.96 / $810.21	Professional		$558.96	$558.96	$810.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $174.48 / $273.86	Professional		$112.58	$174.48	$273.86
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 $181.57 / $247.16 / $566.03	Professional		$181.57	$247.16	$566.03