Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.36 / $5,076.00 / $17,380.00	Facility		$188.36	$5,076.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.25 / $160.76 / $713.53	Professional		$121.25	$160.76	$713.53
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 $122.76 / $184.54 / $387.77	Professional		$122.76	$184.54	$387.77
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 $113.14 / $167.61 / $374.98	Professional		$113.14	$167.61	$374.98
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 $133.85 / $201.05 / $439.58	Professional		$133.85	$201.05	$439.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $166.37 / $277.75	Professional		$64.41	$166.37	$277.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.15 / $192.67 / $340.96	Professional		$140.15	$192.67	$340.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $940.08 / $957.48 / $12,000.00	Facility		$940.08	$957.48	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $994.96 / $1,240.72 / $1,433.55	Professional		$994.96	$1,240.72	$1,433.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.50	Professional		$32.34	$32.34	$143.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.07 / $187.04 / $289.70	Facility		$129.07	$187.04	$289.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $222.59 / $439.58	Professional		$139.86	$222.59	$439.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $442.72 / $442.72 / $584.57	Professional		$442.72	$442.72	$584.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $134.46 / $237.48	Professional		$64.41	$134.46	$237.48
United Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $1,302.00 / $5,691.00	Facility		$141.00	$1,302.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.32 / $181.60 / $443.91	Professional		$131.32	$181.60	$443.91