Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.08 / $4,704.00 / $16,125.00	Facility		$303.08	$4,704.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $159.56 / $616.35	Professional		$47.52	$159.56	$616.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $84.94 / $275.14	Professional		$61.48	$84.94	$275.14
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 $48.25 / $117.27 / $246.11	Professional		$48.25	$117.27	$246.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $157.63 / $407.71	Professional		$53.76	$157.63	$407.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.68 / $160.09 / $319.63	Professional		$55.68	$160.09	$319.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $191.97 / $401.78	Professional		$51.02	$191.97	$401.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $342.32 / $668.91	Facility		$55.00	$342.32	$668.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $768.60 / $1,728.30 / $2,338.78	Professional		$768.60	$1,728.30	$2,338.78
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 $59.29 / $162.09 / $379.92	Facility		$59.29	$162.09	$379.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $155.66 / $445.87	Professional		$53.83	$155.66	$445.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $170.68 / $676.79	Professional		$170.68	$170.68	$676.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $224.03 / $296.13	Professional		$50.54	$224.03	$296.13
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 $144.60 / $189.09 / $476.63	Professional		$144.60	$189.09	$476.63