Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.47 / $5,165.00 / $17,380.00	Facility		$267.47	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $226.97 / $971.00	Professional		$169.58	$226.97	$971.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.39 / $269.76 / $560.46	Professional		$185.39	$269.76	$560.46
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 $165.16 / $246.07 / $541.65	Professional		$165.16	$246.07	$541.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.01 / $495.00 / $960.38	Facility		$324.01	$495.00	$960.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $282.02 / $590.07	Professional		$194.00	$282.02	$590.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $156.74 / $244.59 / $382.82	Professional		$156.74	$244.59	$382.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.54 / $275.57 / $496.03	Professional		$192.54	$275.57	$496.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.66 / $1,327.92 / $12,000.00	Facility		$1,296.66	$1,327.92	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.48 / $1,826.56 / $2,138.17	Professional		$1,368.48	$1,826.56	$2,138.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $215.83	Professional		$32.34	$32.34	$215.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.30 / $272.89 / $420.68	Facility		$194.30	$272.89	$420.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.10 / $315.75 / $632.97	Professional		$201.10	$315.75	$632.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.50 / $602.50 / $829.70	Professional		$602.50	$602.50	$829.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $156.74 / $246.92 / $344.95	Professional		$156.74	$246.92	$344.95
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,358.00 / $5,830.00	Facility		$379.00	$1,358.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.08 / $269.61 / $631.05	Professional		$199.08	$269.61	$631.05