Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $5,206.00 / $17,328.00	Facility		$97.76	$5,206.00	$17,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $73.67 / $303.63	Professional		$53.71	$73.67	$303.63
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 $56.97 / $87.64 / $181.72	Professional		$56.97	$87.64	$181.72
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 $60.07 / $84.80 / $174.86	Professional		$60.07	$84.80	$174.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $154.72 / $1,404.00	Facility		$55.57	$154.72	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $94.54 / $218.84	Professional		$60.83	$94.54	$218.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $71.05 / $109.50	Professional		$30.16	$71.05	$109.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $83.06 / $146.00	Professional		$61.24	$83.06	$146.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $411.60 / $417.12	Facility		$55.00	$411.60	$417.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $538.79 / $631.88	Professional		$433.84	$538.79	$631.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $63.15	Professional		$32.34	$32.34	$63.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $83.51 / $128.72	Facility		$56.77	$83.51	$128.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $101.97 / $200.37	Professional		$62.99	$101.97	$200.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $188.38 / $260.51	Professional		$188.38	$188.38	$260.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $57.38 / $101.38	Professional		$30.16	$57.38	$101.38
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $3,786.00 / $9,072.00	Facility		$600.00	$3,786.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $86.39 / $205.28	Professional		$63.00	$86.39	$205.28