Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.74 / $4,848.00 / $17,054.00	Facility		$197.74	$4,848.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $169.30 / $699.22	Professional		$100.66	$169.30	$699.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $175.62 / $386.20	Professional		$111.14	$175.62	$386.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,122.07	Facility		$67.90	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $171.75 / $365.48	Professional		$120.23	$171.75	$365.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.04 / $400.00 / $1,404.00	Facility		$163.04	$400.00	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $192.46 / $445.67	Professional		$116.32	$192.46	$445.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $128.76 / $282.83	Professional		$67.76	$128.76	$282.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $192.83 / $351.00	Professional		$110.46	$192.83	$351.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $743.46 / $759.84 / $11,500.00	Facility		$743.46	$759.84	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $786.08 / $1,342.00 / $1,567.88	Professional		$786.08	$1,342.00	$1,567.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.52	Professional		$32.34	$32.34	$156.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.52 / $173.63 / $294.63	Facility		$108.52	$173.63	$294.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.59 / $213.15 / $468.95	Professional		$121.59	$213.15	$468.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $345.92 / $583.95	Professional		$345.92	$345.92	$583.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $117.02 / $262.00	Professional		$67.76	$117.02	$262.00
United Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $1,297.00 / $5,269.00	Facility		$141.00	$1,297.00	$5,269.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $185.20 / $448.04	Professional		$138.50	$185.20	$448.04