Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.95 / $5,829.00 / $17,809.00	Facility		$184.95	$5,829.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $150.30 / $611.47	Professional		$99.36	$150.30	$611.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,357.00 / $10,576.00	Facility		$1,196.00	$5,357.00	$10,576.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $163.19 / $344.56	Professional		$105.11	$163.19	$344.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,564.23	Facility		$67.90	$100.00	$6,564.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $160.55 / $337.04	Professional		$106.72	$160.55	$337.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $436.61 / $900.00	Facility		$156.81	$436.61	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $180.07 / $406.29	Professional		$111.26	$180.07	$406.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $133.01 / $240.58	Professional		$58.08	$133.01	$240.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $173.70 / $307.60	Professional		$112.94	$173.70	$307.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $756.60 / $775.74 / $16,394.00	Facility		$756.60	$775.74	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $797.60 / $1,148.32 / $1,344.98	Professional		$797.60	$1,148.32	$1,344.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $134.99	Professional		$32.34	$32.34	$134.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.20 / $162.97 / $263.33	Facility		$102.20	$162.97	$263.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.02 / $199.84 / $409.08	Professional		$115.02	$199.84	$409.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $341.82 / $341.82 / $523.34	Professional		$341.82	$341.82	$523.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $107.46 / $222.82	Professional		$58.08	$107.46	$222.82
United Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $1,302.00 / $5,691.00	Facility		$141.00	$1,302.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $170.62 / $403.93	Professional		$125.72	$170.62	$403.93