Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.99 / $4,941.00 / $15,795.00	Facility		$179.99	$4,941.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $134.77 / $466.00	Professional		$80.92	$134.77	$466.00
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 $86.20 / $143.41 / $294.55	Professional		$86.20	$143.41	$294.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $152.40 / $224.40 / $246.57	Professional	50	$152.40	$224.40	$246.57
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 $100.00 / $154.59 / $304.83	Professional		$100.00	$154.59	$304.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $164.56 / $302.92	Professional		$100.24	$164.56	$302.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $123.90 / $231.86	Professional		$83.02	$123.90	$231.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $163.56 / $297.06	Professional		$93.15	$163.56	$297.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $639.72 / $650.76	Facility		$55.00	$639.72	$650.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,179.06 / $3,306.22 / $3,737.30	Professional		$3,179.06	$3,306.22	$3,737.30
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 $90.95 / $142.86 / $234.25	Facility		$90.95	$142.86	$234.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $172.88 / $303.36	Professional		$100.95	$172.88	$303.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $310.85 / $310.85 / $518.82	Professional		$310.85	$310.85	$518.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $136.11 / $214.73	Professional		$83.38	$136.11	$214.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,243.00 / $9,131.00	Facility		$2,230.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $163.99 / $393.86	Professional		$120.96	$163.99	$393.86