Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,436.00 / $16,125.00	Facility		$365.00	$4,436.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.37 / $238.81 / $759.80	Professional		$201.37	$238.81	$759.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.41 / $311.66 / $654.48	Professional		$231.41	$311.66	$654.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $202.72 / $284.30 / $631.15	Professional		$202.72	$284.30	$631.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $253.20 / $453.49	Facility		$56.00	$253.20	$453.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.70 / $317.35 / $638.10	Professional		$239.70	$317.35	$638.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $283.52 / $382.75	Professional		$154.88	$283.52	$382.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.27 / $331.87 / $569.89	Professional		$242.27	$331.87	$569.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,108.28 / $1,210.10	Facility		$55.00	$1,108.28	$1,210.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,721.28 / $1,991.10 / $2,265.53	Professional		$1,721.28	$1,991.10	$2,265.53
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 $251.39 / $331.19 / $448.35	Facility		$251.39	$331.19	$448.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.12 / $334.36 / $648.28	Professional		$245.12	$334.36	$648.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $748.14 / $748.14 / $850.33	Professional		$748.14	$748.14	$850.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.46 / $263.29 / $364.49	Professional		$173.46	$263.29	$364.49
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.01 / $265.32 / $585.52	Professional		$199.01	$265.32	$585.52