Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.45 / $7,108.00 / $18,681.00	Facility		$221.45	$7,108.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $221.45 / $1,069.70	Professional		$145.69	$221.45	$1,069.70
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 $157.82 / $240.35 / $512.04	Professional		$157.82	$240.35	$512.04
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 $161.33 / $230.47 / $469.28	Professional		$161.33	$230.47	$469.28
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 $182.57 / $282.61 / $594.16	Professional		$182.57	$282.61	$594.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $201.41 / $254.00 / $463.48	Professional		$201.41	$254.00	$463.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.26 / $328.42 / $592.00	Professional		$187.26	$328.42	$592.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $844.32 / $917.65	Facility		$55.00	$844.32	$917.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.00 / $2,215.76 / $2,636.70	Professional		$1,608.00	$2,215.76	$2,636.70
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 $207.41 / $292.06 / $468.10	Facility		$207.41	$292.06	$468.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $304.93 / $650.16	Professional		$183.90	$304.93	$650.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $583.96 / $583.96 / $949.41	Professional		$583.96	$583.96	$949.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $312.06 / $429.09	Professional		$192.32	$312.06	$429.09
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 $211.90 / $276.49 / $630.26	Professional		$211.90	$276.49	$630.26