Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.66 / $5,165.00 / $17,380.00	Facility		$174.66	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $145.43 / $346.22	Professional		$82.11	$145.43	$346.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $144.16 / $332.77	Professional		$88.13	$144.16	$332.77
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 $92.51 / $132.15 / $293.56	Professional		$92.51	$132.15	$293.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $400.00 / $1,055.80	Facility		$154.03	$400.00	$1,055.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $166.57 / $394.71	Professional		$96.29	$166.57	$394.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $133.49 / $257.42	Professional		$97.17	$133.49	$257.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $174.34 / $317.29	Professional		$94.79	$174.34	$317.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $635.46 / $647.40	Facility		$55.00	$635.46	$647.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $669.76 / $1,206.56 / $1,417.73	Professional		$669.76	$1,206.56	$1,417.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $139.82	Professional		$32.34	$32.34	$139.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.18 / $148.38 / $261.30	Facility		$93.18	$148.38	$261.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $184.10 / $416.63	Professional		$99.98	$184.10	$416.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $290.20 / $290.20 / $519.80	Professional		$290.20	$290.20	$519.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $126.32 / $238.45	Professional		$97.17	$126.32	$238.45
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $2,562.00 / $7,655.00	Facility		$520.00	$2,562.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $163.72 / $397.50	Professional		$119.74	$163.72	$397.50