Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $4,337.80 / $15,522.00	Facility		$464.00	$4,337.80	$15,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $130.25 / $447.60	Professional		$81.33	$130.25	$447.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $190.68 / $380.38	Professional		$112.50	$190.68	$380.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $9,724.66	Facility		$65.90	$100.00	$9,724.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $137.71 / $265.87	Professional		$88.94	$137.71	$265.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.02 / $477.02 / $563.75	Facility		$477.02	$477.02	$563.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $142.59 / $280.47	Professional		$89.61	$142.59	$280.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $115.41 / $201.18	Professional		$89.35	$115.41	$201.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $129.36 / $223.95	Professional		$83.40	$129.36	$223.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $383.01 / $402.80	Facility		$55.00	$383.01	$402.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $595.44 / $905.60 / $1,087.05	Professional		$595.44	$905.60	$1,087.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.27 / $110.27 / $183.78	Professional		$110.27	$110.27	$183.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.74 / $133.44 / $207.30	Facility		$91.74	$133.44	$207.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $147.91 / $322.18	Professional		$91.40	$147.91	$322.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $277.73 / $277.73 / $431.61	Professional		$277.73	$277.73	$431.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $120.29 / $173.12	Professional		$81.02	$120.29	$173.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,753.00 / $7,940.00	Facility		$1,371.00	$2,753.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $162.15 / $386.15	Professional		$110.20	$162.15	$386.15