Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.17 / $5,829.00 / $17,701.00	Facility		$251.17	$5,829.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $209.80 / $722.25	Professional		$125.68	$209.80	$722.25
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 $142.81 / $218.28 / $481.83	Professional		$142.81	$218.28	$481.83
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 $124.24 / $178.07 / $407.50	Professional		$124.24	$178.07	$407.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $500.90 / $1,881.00	Facility		$187.56	$500.90	$1,881.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $235.30 / $527.70	Professional		$146.22	$235.30	$527.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $179.48 / $327.98	Professional		$121.00	$179.48	$327.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $224.07 / $418.51	Professional		$139.21	$224.07	$418.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $934.92 / $956.88	Facility		$55.00	$934.92	$956.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $987.44 / $1,560.08 / $1,823.40	Professional		$987.44	$1,560.08	$1,823.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $181.91	Professional		$32.34	$32.34	$181.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.99 / $220.98 / $351.06	Facility		$141.99	$220.98	$351.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.55 / $264.37 / $551.04	Professional		$151.55	$264.37	$551.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $448.14 / $448.14 / $724.63	Professional		$448.14	$448.14	$724.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $181.25 / $303.80	Professional		$121.00	$181.25	$303.80
United Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $3,965.00 / $9,131.00	Facility		$740.00	$3,965.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $233.10 / $553.91	Professional		$167.82	$233.10	$553.91