Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.35 / $4,848.00 / $16,125.00	Facility		$248.35	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $213.50 / $440.78	Professional		$156.21	$213.50	$440.78
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 $168.44 / $243.88 / $527.41	Professional		$168.44	$243.88	$527.41
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 $139.09 / $198.70 / $429.00	Professional		$139.09	$198.70	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $254.47 / $495.26	Professional		$172.97	$254.47	$495.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $228.05 / $358.03	Professional		$102.38	$228.05	$358.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $264.92 / $463.61	Professional		$173.03	$264.92	$463.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,174.26 / $1,198.44	Facility		$55.00	$1,174.26	$1,198.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,248.96 / $1,769.12 / $2,037.98	Professional		$1,248.96	$1,769.12	$2,037.98
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 $165.34 / $237.96 / $362.94	Facility		$165.34	$237.96	$362.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $266.17 / $519.75	Professional		$173.25	$266.17	$519.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $568.97 / $568.97 / $805.79	Professional		$568.97	$568.97	$805.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.67 / $176.90 / $271.29	Professional		$114.67	$176.90	$271.29
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 $185.03 / $245.48 / $542.61	Professional		$185.03	$245.48	$542.61