Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.89 / $7,108.00 / $18,681.00	Facility		$220.89	$7,108.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.96 / $220.89 / $1,029.66	Professional		$141.96	$220.89	$1,029.66
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 $154.34 / $230.22 / $491.05	Professional		$154.34	$230.22	$491.05
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 $142.44 / $203.48 / $441.01	Professional		$142.44	$203.48	$441.01
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 $161.13 / $254.76 / $554.78	Professional		$161.13	$254.76	$554.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $242.26 / $468.88	Professional		$192.11	$242.26	$468.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.34 / $331.52 / $592.60	Professional		$183.34	$331.52	$592.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $812.20 / $888.77	Facility		$55.00	$812.20	$888.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.24 / $2,223.67 / $2,650.35	Professional		$1,262.24	$2,223.67	$2,650.35
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 $193.68 / $266.89 / $472.06	Facility		$193.68	$266.89	$472.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $271.05 / $604.44	Professional		$165.60	$271.05	$604.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $559.48 / $559.48 / $946.58	Professional		$559.48	$559.48	$946.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.83 / $314.94 / $434.12	Professional		$186.83	$314.94	$434.12
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 $196.84 / $265.37 / $654.15	Professional		$196.84	$265.37	$654.15