Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.53 / $5,178.00 / $17,380.00	Facility		$248.53	$5,178.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $200.87 / $750.39	Professional		$113.69	$200.87	$750.39
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 $126.17 / $203.88 / $463.13	Professional		$126.17	$203.88	$463.13
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 $129.93 / $185.62 / $416.63	Professional		$129.93	$185.62	$416.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $566.61 / $2,151.00	Facility		$203.50	$566.61	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.79 / $230.67 / $525.00	Professional		$135.79	$230.67	$525.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $169.02 / $336.61	Professional		$111.69	$169.02	$336.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $226.93 / $413.83	Professional		$126.17	$226.93	$413.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $845.28 / $862.86	Facility		$55.00	$845.28	$862.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $893.12 / $1,573.12 / $1,837.28	Professional		$893.12	$1,573.12	$1,837.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $182.74	Professional		$32.34	$32.34	$182.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.31 / $203.94 / $349.06	Facility		$129.31	$203.94	$349.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $252.00 / $557.27	Professional		$141.12	$252.00	$557.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $398.04 / $398.04 / $729.83	Professional		$398.04	$398.04	$729.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $166.33 / $311.85	Professional		$120.97	$166.33	$311.85
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,928.00 / $9,131.00	Facility		$705.00	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.13 / $229.03 / $564.03	Professional		$167.13	$229.03	$564.03