Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.80 / $7,108.00 / $18,681.00	Facility		$251.80	$7,108.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $246.25 / $1,116.47	Professional		$154.69	$246.25	$1,116.47
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 $181.59 / $262.70 / $548.03	Professional		$181.59	$262.70	$548.03
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 $171.43 / $244.90 / $514.29	Professional		$171.43	$244.90	$514.29
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 $188.42 / $291.88 / $599.29	Professional		$188.42	$291.88	$599.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $222.83 / $310.13 / $502.03	Professional		$222.83	$310.13	$502.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.38 / $355.52 / $634.52	Professional		$198.38	$355.52	$634.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $880.48 / $961.69	Facility		$55.00	$880.48	$961.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,366.40 / $2,382.71 / $2,834.78	Professional		$1,366.40	$2,382.71	$2,834.78
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 $197.14 / $288.81 / $509.83	Facility		$197.14	$288.81	$509.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.14 / $311.12 / $653.80	Professional		$190.14	$311.12	$653.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $606.79 / $606.79 / $1,016.73	Professional		$606.79	$606.79	$1,016.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $202.35 / $380.31 / $558.23	Professional		$202.35	$380.31	$558.23
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 $226.05 / $301.51 / $702.53	Professional		$226.05	$301.51	$702.53