Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.25 / $5,165.00 / $17,380.00	Facility		$291.25	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $240.18 / $922.83	Professional		$166.40	$240.18	$922.83
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 $153.56 / $252.28 / $573.16	Professional		$153.56	$252.28	$573.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $9,241.04	Facility		$67.90	$100.00	$9,241.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $198.76 / $483.55	Professional		$136.24	$198.76	$483.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $467.53 / $1,404.00	Facility		$309.75	$467.53	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.41 / $300.81 / $689.98	Professional		$174.41	$300.81	$689.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $248.52 / $476.69	Professional		$95.31	$248.52	$476.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.72 / $332.08 / $595.86	Professional		$201.72	$332.08	$595.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,333.68 / $1,380.12	Facility		$55.00	$1,333.68	$1,380.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.04 / $2,174.08 / $2,550.60	Professional		$1,401.04	$2,174.08	$2,550.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $251.44	Professional		$32.34	$32.34	$251.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.33 / $276.87 / $481.87	Facility		$159.33	$276.87	$481.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.27 / $344.79 / $761.24	Professional		$177.27	$344.79	$761.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $638.16 / $638.16 / $1,002.42	Professional		$638.16	$638.16	$1,002.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $200.94 / $441.72	Professional		$95.31	$200.94	$441.72
United Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $3,928.00 / $9,131.00	Facility		$740.00	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $295.61 / $789.14	Professional		$203.58	$295.61	$789.14