Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.64 / $5,002.00 / $17,538.00	Facility		$280.64	$5,002.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $228.35 / $767.62	Professional		$138.09	$228.35	$767.62
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 $145.13 / $240.30 / $513.58	Professional		$145.13	$240.30	$513.58
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 $169.44 / $255.89 / $530.86	Professional		$169.44	$255.89	$530.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.61 / $400.00 / $1,404.00	Facility		$189.61	$400.00	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $264.39 / $594.66	Professional		$160.59	$264.39	$594.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $167.88 / $337.50	Professional		$75.58	$167.88	$337.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $231.07 / $435.94	Professional		$143.75	$231.07	$435.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $967.68 / $997.14	Facility		$55.00	$967.68	$997.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.08 / $1,613.36 / $1,878.90	Professional		$1,024.08	$1,613.36	$1,878.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $189.38	Professional		$32.34	$32.34	$189.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.71 / $227.06 / $369.71	Facility		$138.71	$227.06	$369.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.10 / $288.27 / $599.99	Professional		$167.10	$288.27	$599.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $476.28 / $476.28 / $784.03	Professional		$476.28	$476.28	$784.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $136.04 / $312.61	Professional		$75.58	$136.04	$312.61
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 $187.88 / $253.22 / $607.49	Professional		$187.88	$253.22	$607.49