Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.57 / $4,950.00 / $17,328.00	Facility		$174.57	$4,950.00	$17,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $147.52 / $419.54	Professional		$102.94	$147.52	$419.54
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 $104.50 / $161.96 / $342.70	Professional		$104.50	$161.96	$342.70
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 $100.78 / $147.36 / $322.33	Professional		$100.78	$147.36	$322.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $324.26 / $1,404.00	Facility		$116.46	$324.26	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $174.38 / $378.65	Professional		$115.38	$174.38	$378.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $134.16 / $217.18	Professional		$58.45	$134.16	$217.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $159.47 / $289.13	Professional		$113.92	$159.47	$289.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $764.88 / $781.32	Facility		$55.00	$764.88	$781.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $808.64 / $1,052.00 / $1,221.83	Professional		$808.64	$1,052.00	$1,221.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $123.09	Professional		$32.34	$32.34	$123.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $162.00 / $246.85	Facility		$112.20	$162.00	$246.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $191.81 / $376.73	Professional		$120.30	$191.81	$376.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $354.55 / $491.59	Professional		$354.55	$354.55	$491.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $108.41 / $201.14	Professional		$58.45	$108.41	$201.14
United Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $3,786.00 / $9,072.00	Facility		$720.00	$3,786.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $160.36 / $384.47	Professional		$118.16	$160.36	$384.47