Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.61 / $4,932.00 / $16,573.00	Facility		$334.61	$4,932.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $128.08 / $334.61	Professional		$56.63	$128.08	$334.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $139.15 / $268.11	Professional		$68.20	$139.15	$268.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $126.18 / $251.23	Professional		$60.98	$126.18	$251.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $104.94	Facility		$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $144.96 / $304.95	Professional		$65.34	$144.96	$304.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $208.82 / $262.25	Professional		$66.83	$208.82	$262.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $139.22 / $256.27	Professional		$60.15	$139.22	$256.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $610.19 / $701.16	Facility		$55.00	$610.19	$701.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $701.16 / $1,903.64 / $3,063.36	Professional		$701.16	$1,903.64	$3,063.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $127.07	Professional		$32.34	$32.34	$127.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $153.01 / $331.93	Facility		$61.51	$153.01	$331.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $157.24 / $384.41	Professional		$67.31	$157.24	$384.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $207.61 / $207.61 / $515.36	Professional		$207.61	$207.61	$515.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $172.67 / $393.37	Professional		$60.71	$172.67	$393.37
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $5,830.00	Facility		$545.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $173.38 / $462.59	Professional		$121.50	$173.38	$462.59