Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.23 / $9,674.00 / $22,788.00	Facility		$110.23	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $111.22 / $576.88	Professional		$95.22	$111.22	$576.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $7,303.00 / $16,460.00	Facility		$2,402.00	$7,303.00	$16,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $153.96 / $304.64	Professional		$114.31	$153.96	$304.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $129.31 / $292.48	Professional		$92.25	$129.31	$292.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $750.00 / $5,431.00	Facility		$127.87	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $142.00 / $309.70	Professional		$109.16	$142.00	$309.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $781.83 / $985.95	Professional		$115.78	$781.83	$985.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $132.18 / $245.13	Professional		$100.31	$132.18	$245.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $408.80 / $2,250.75	Facility		$55.00	$408.80	$2,250.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,856.41 / $2,856.41 / $2,856.41	Professional		$2,856.41	$2,856.41	$2,856.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.48 / $140.83 / $263.18	Facility		$107.48	$140.83	$263.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $151.38 / $299.20	Professional		$109.56	$151.38	$299.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $357.95 / $357.95 / $357.95	Professional		$357.95	$357.95	$357.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $781.83 / $1,407.29	Professional		$104.91	$781.83	$1,407.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $123.01 / $268.64	Professional		$91.56	$123.01	$268.64