Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.36 / $5,947.00 / $17,701.00	Facility		$315.36	$5,947.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $261.56 / $861.89	Professional		$161.91	$261.56	$861.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.90 / $276.79 / $587.57	Professional		$182.90	$276.79	$587.57
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 $159.46 / $241.14 / $542.34	Professional		$159.46	$241.14	$542.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.67 / $535.00 / $1,881.00	Facility		$211.67	$535.00	$1,881.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.92 / $290.86 / $645.62	Professional		$185.92	$290.86	$645.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $213.26 / $380.26	Professional		$148.91	$213.26	$380.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $268.07 / $480.30	Professional		$165.83	$268.07	$480.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,116.83 / $1,135.14	Facility		$55.00	$1,116.83	$1,135.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.96 / $1,822.40 / $2,117.17	Professional		$1,182.96	$1,822.40	$2,117.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $209.45	Professional		$32.34	$32.34	$209.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.42 / $278.19 / $416.26	Facility		$174.42	$278.19	$416.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.39 / $325.62 / $650.95	Professional		$192.39	$325.62	$650.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $560.67 / $892.47	Professional		$560.67	$560.67	$892.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $215.38 / $352.22	Professional		$148.91	$215.38	$352.22
United Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $3,964.00 / $9,131.00	Facility		$740.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.14 / $283.79 / $662.93	Professional		$208.14	$283.79	$662.93