Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.85 / $5,068.00 / $17,380.00	Facility		$186.85	$5,068.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $157.02 / $656.26	Professional		$107.82	$157.02	$656.26
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 $108.62 / $168.72 / $357.07	Professional		$108.62	$168.72	$357.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,564.23	Facility		$67.90	$100.00	$6,564.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $153.30 / $339.44	Professional		$105.57	$153.30	$339.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.67 / $352.68 / $2,151.00	Facility		$126.67	$352.68	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $183.84 / $400.20	Professional		$119.76	$183.84	$400.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $142.29 / $235.19	Professional		$66.27	$142.29	$235.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $172.95 / $312.81	Professional		$121.52	$172.95	$312.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $815.28 / $831.90	Facility		$55.00	$815.28	$831.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $859.44 / $1,138.64 / $1,333.35	Professional		$859.44	$1,138.64	$1,333.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.97	Professional		$32.34	$32.34	$133.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.30 / $169.55 / $264.58	Facility		$109.30	$169.55	$264.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $206.28 / $403.00	Professional		$124.67	$206.28	$403.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $369.31 / $369.31 / $521.98	Professional		$369.31	$369.31	$521.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $119.28 / $217.78	Professional		$66.27	$119.28	$217.78
United Facility/Professional Facility Modifier Low / Median / High Price $986.00 / $2,671.00 / $9,380.00	Facility		$986.00	$2,671.00	$9,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.47 / $170.62 / $396.17	Professional		$124.47	$170.62	$396.17