Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.02 / $4,932.00 / $16,573.00	Facility		$245.02	$4,932.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $133.79 / $275.04	Professional		$37.68	$133.79	$275.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $69.55 / $252.81	Professional		$50.45	$69.55	$252.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $107.90 / $255.65	Professional		$39.79	$107.90	$255.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Facility		$74.98	$74.98	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $167.69 / $414.31	Professional		$46.96	$167.69	$414.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $137.01 / $368.87	Professional		$49.71	$137.01	$368.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $173.06 / $366.47	Professional		$44.14	$173.06	$366.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $377.57 / $387.66	Facility		$55.00	$377.57	$387.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $766.67 / $1,739.48 / $1,948.02	Professional		$766.67	$1,739.48	$1,948.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.00	Professional		$32.34	$32.34	$173.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $132.18 / $368.87	Facility		$45.03	$132.18	$368.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $171.30 / $510.00	Professional		$48.84	$171.30	$510.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $152.02 / $152.02 / $666.54	Professional		$152.02	$152.02	$666.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $221.00 / $303.88	Professional		$44.97	$221.00	$303.88
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $202.82 / $541.41	Professional		$145.13	$202.82	$541.41