Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.76 / $4,848.00 / $16,125.00	Facility		$506.76	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $432.02 / $764.72	Professional		$95.13	$432.02	$764.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $384.75 / $1,076.14	Professional		$136.21	$384.75	$1,076.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $322.52 / $839.44	Professional		$100.60	$322.52	$839.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $149.37 / $149.37	Facility		$149.37	$149.37	$149.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $268.52 / $977.38	Professional		$102.86	$268.52	$977.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $106.98 / $857.12	Professional		$84.51	$106.98	$857.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $367.00 / $834.02	Professional		$82.58	$367.00	$834.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $583.98 / $895.52	Facility		$55.00	$583.98	$895.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.41 / $3,451.92 / $4,098.45	Professional		$1,818.41	$3,451.92	$4,098.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $411.36	Professional		$32.34	$32.34	$411.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.09 / $211.50 / $834.10	Facility		$98.09	$211.50	$834.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $276.81 / $1,243.90	Professional		$105.63	$276.81	$1,243.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $284.27 / $1,613.86	Professional		$284.27	$284.27	$1,613.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $118.32 / $705.86	Professional		$80.81	$118.32	$705.86
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,506.00 / $5,691.00	Facility		$548.00	$1,506.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.82 / $560.04 / $1,238.14	Professional		$368.82	$560.04	$1,238.14