Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.41 / $5,829.00 / $17,809.00	Facility		$199.41	$5,829.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $168.25 / $574.54	Professional		$101.10	$168.25	$574.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.88 / $177.45 / $384.24	Professional		$113.88	$177.45	$384.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,863.19	Facility		$67.90	$100.00	$6,863.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $110.35 / $157.63 / $354.55	Professional		$110.35	$157.63	$354.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $450.54 / $1,881.00	Facility		$161.82	$450.54	$1,881.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.47 / $192.14 / $448.39	Professional		$119.47	$192.14	$448.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $132.35 / $283.31	Professional		$60.31	$132.35	$283.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $193.41 / $353.78	Professional		$113.51	$193.41	$353.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $764.28 / $781.26	Facility		$55.00	$764.28	$781.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $808.56 / $1,347.76 / $1,572.30	Professional		$808.56	$1,347.76	$1,572.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $157.18	Professional		$32.34	$32.34	$157.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.51 / $174.27 / $295.38	Facility		$113.51	$174.27	$295.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $215.96 / $470.92	Professional		$122.22	$215.96	$470.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $356.49 / $356.49 / $589.71	Professional		$356.49	$356.49	$589.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $108.56 / $262.42	Professional		$60.31	$108.56	$262.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,502.00 / $3,952.00 / $12,100.00	Facility		$1,502.00	$3,952.00	$12,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $186.85 / $439.34	Professional		$136.69	$186.85	$439.34