Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.16 / $5,068.00 / $17,380.00	Facility		$242.16	$5,068.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $196.32 / $566.87	Professional		$89.62	$196.32	$566.87
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 $128.01 / $295.52 / $617.07	Professional		$128.01	$295.52	$617.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,905.14	Facility		$67.90	$100.00	$4,905.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $204.22 / $410.16	Professional		$103.77	$204.22	$410.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $492.64 / $2,151.00	Facility		$166.80	$492.64	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $227.26 / $511.53	Professional		$105.53	$227.26	$511.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $128.54 / $319.68	Professional		$82.28	$128.54	$319.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $217.31 / $398.07	Professional		$97.31	$217.31	$398.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $665.76 / $680.40	Facility		$55.00	$665.76	$680.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $804.66 / $1,535.44 / $1,795.50	Professional		$804.66	$1,535.44	$1,795.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $176.53	Professional		$32.34	$32.34	$176.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.14 / $200.21 / $349.88	Facility		$100.14	$200.21	$349.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $247.30 / $542.62	Professional		$111.12	$247.30	$542.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $320.24 / $320.24 / $707.33	Professional		$320.24	$320.24	$707.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $118.88 / $296.05	Professional		$82.28	$118.88	$296.05
United Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $3,964.00 / $9,131.00	Facility		$740.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.83 / $243.42 / $590.08	Professional		$168.83	$243.42	$590.08