Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.55 / $7,108.00 / $18,681.00	Facility		$280.55	$7,108.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $280.55 / $1,114.57	Professional		$157.94	$280.55	$1,114.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.85 / $244.11 / $522.64	Professional		$161.85	$244.11	$522.64
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 $158.77 / $226.82 / $482.61	Professional		$158.77	$226.82	$482.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.91 / $280.39 / $1,487.00	Facility		$279.91	$280.39	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.67 / $307.62 / $671.81	Professional		$185.67	$307.62	$671.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $272.68 / $558.54	Professional		$216.68	$272.68	$558.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.51 / $387.49 / $708.00	Professional		$204.51	$387.49	$708.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $923.41 / $996.03	Facility		$55.00	$923.41	$996.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.00 / $2,636.16 / $3,246.68	Professional		$1,608.00	$2,636.16	$3,246.68
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 $218.95 / $322.37 / $563.75	Facility		$218.95	$322.37	$563.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.33 / $345.60 / $740.23	Professional		$189.33	$345.60	$740.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $612.76 / $612.76 / $1,108.05	Professional		$612.76	$612.76	$1,108.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $355.22 / $516.77	Professional		$206.00	$355.22	$516.77
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,495.00 / $5,830.00	Facility		$510.00	$1,495.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.02 / $314.52 / $774.88	Professional		$228.02	$314.52	$774.88