Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.96 / $4,063.00 / $16,109.00	Facility		$199.96	$4,063.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $130.44 / $563.00	Professional		$92.73	$130.44	$563.00
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 $100.47 / $138.94 / $287.77	Professional		$100.47	$138.94	$287.77
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 $98.85 / $137.15 / $281.38	Professional		$98.85	$137.15	$281.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $160.72 / $287.86	Facility		$56.00	$160.72	$287.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $151.31 / $282.52	Professional		$106.16	$151.31	$282.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.12 / $139.58 / $203.14	Professional		$115.12	$139.58	$203.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.44 / $152.22 / $285.00	Professional		$101.44	$152.22	$285.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $463.04 / $500.41	Facility		$55.00	$463.04	$500.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $718.24 / $999.76 / $1,185.83	Professional		$718.24	$999.76	$1,185.83
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 $102.05 / $145.78 / $218.53	Facility		$102.05	$145.78	$218.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $158.87 / $330.52	Professional		$107.12	$158.87	$330.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $322.99 / $322.99 / $440.80	Professional		$322.99	$322.99	$440.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $153.06 / $218.47	Professional		$102.63	$153.06	$218.47
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 $106.98 / $138.60 / $338.32	Professional		$106.98	$138.60	$338.32