Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.13 / $7,108.00 / $18,681.00	Facility		$86.13	$7,108.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $85.49 / $364.19	Professional		$57.72	$85.49	$364.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $88.54 / $174.99	Professional		$62.67	$88.54	$174.99
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 $59.24 / $94.00 / $179.99	Professional		$59.24	$94.00	$179.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $130.85 / $234.36	Facility		$56.00	$130.85	$234.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $101.29 / $197.31	Professional		$65.95	$101.29	$197.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.03 / $121.00 / $173.43	Professional		$83.03	$121.00	$173.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $113.58 / $205.30	Professional		$72.20	$113.58	$205.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $327.68 / $357.87	Facility		$55.00	$327.68	$357.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $508.16 / $744.40 / $885.00	Professional		$508.16	$744.40	$885.00
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 $70.28 / $105.28 / $160.59	Facility		$70.28	$105.28	$160.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $105.77 / $222.34	Professional		$67.51	$105.77	$222.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $225.96 / $225.96 / $320.93	Professional		$225.96	$225.96	$320.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $125.84 / $217.80	Professional		$75.40	$125.84	$217.80
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 $72.54 / $95.69 / $221.16	Professional		$72.54	$95.69	$221.16