Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.45 / $5,165.00 / $17,380.00	Facility		$308.45	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.16 / $260.73 / $849.25	Professional		$125.16	$260.73	$849.25
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 $171.98 / $429.06 / $45,341.59	Professional		$171.98	$429.06	$45,341.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,539.15	Facility		$67.90	$100.00	$6,539.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $148.74 / $313.41 / $631.74	Professional		$148.74	$313.41	$631.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,091.68 / $3,039.51	Facility		$633.00	$1,091.68	$3,039.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.50 / $330.00 / $782.20	Professional		$150.50	$330.00	$782.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.74 / $380.53 / $513.72	Professional		$148.74	$380.53	$513.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $302.02 / $564.94	Professional		$132.40	$302.02	$564.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $902.76 / $920.10	Facility		$55.00	$902.76	$920.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.91 / $2,165.36 / $2,524.65	Professional		$1,133.91	$2,165.36	$2,524.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $251.47	Professional		$32.34	$32.34	$251.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.28 / $273.08 / $509.69	Facility		$137.28	$273.08	$509.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.86 / $350.23 / $780.01	Professional		$161.86	$350.23	$780.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $435.04 / $435.04 / $953.17	Professional		$435.04	$435.04	$953.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.31 / $165.14 / $422.99	Professional		$134.31	$165.14	$422.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,964.00 / $9,131.00	Facility		$1,433.90	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.06 / $354.23 / $727.89	Professional		$236.06	$354.23	$727.89