Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.42 / $5,165.00 / $17,380.00	Facility		$292.42	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.80 / $228.81 / $926.48	Professional		$160.80	$228.81	$926.48
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 $183.13 / $268.33 / $564.44	Professional		$183.13	$268.33	$564.44
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 $166.78 / $244.51 / $544.35	Professional		$166.78	$244.51	$544.35
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 $185.61 / $285.70 / $615.97	Professional		$185.61	$285.70	$615.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $234.77 / $385.01	Professional		$88.61	$234.77	$385.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.27 / $280.45 / $495.88	Professional		$184.27	$280.45	$495.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,240.32 / $1,271.76 / $12,000.00	Facility		$1,240.32	$1,271.76	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.20 / $2,186.33 / $2,401.00	Professional		$1,309.20	$2,186.33	$2,401.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $220.36	Professional		$32.34	$32.34	$220.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.52 / $266.08 / $421.20	Facility		$180.52	$266.08	$421.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.41 / $319.81 / $650.23	Professional		$192.41	$319.81	$650.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $574.86 / $574.86 / $848.95	Professional		$574.86	$574.86	$848.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $193.93 / $356.50	Professional		$111.74	$193.93	$356.50
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 $203.27 / $271.83 / $644.66	Professional		$203.27	$271.83	$644.66