Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.88 / $6,695.00 / $18,681.00	Facility		$247.88	$6,695.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $255.33 / $834.00	Professional		$150.85	$255.33	$834.00
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 $143.27 / $222.17 / $485.64	Professional		$143.27	$222.17	$485.64
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 $163.81 / $234.01 / $461.52	Professional		$163.81	$234.01	$461.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $279.91 / $501.33	Facility		$56.00	$279.91	$501.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.33 / $257.64 / $537.57	Professional		$162.33	$257.64	$537.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.22 / $245.33 / $437.02	Professional		$190.22	$245.33	$437.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $303.25 / $558.71	Professional		$167.55	$303.25	$558.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $751.52 / $821.18	Facility		$55.00	$751.52	$821.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.00 / $2,071.04 / $2,464.42	Professional		$1,286.00	$2,071.04	$2,464.42
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 $193.52 / $278.17 / $441.42	Facility		$193.52	$278.17	$441.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $278.58 / $595.69	Professional		$164.16	$278.58	$595.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $517.47 / $517.47 / $884.13	Professional		$517.47	$517.47	$884.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.74 / $298.66 / $404.64	Professional		$172.74	$298.66	$404.64
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $5,830.00	Facility		$510.00	$1,506.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $259.42 / $615.12	Professional		$195.94	$259.42	$615.12