Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.96 / $5,068.00 / $17,380.00	Facility		$393.96	$5,068.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $304.01 / $578.90	Professional		$77.36	$304.01	$578.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,343.00 / $8,557.00	Facility		$1,516.00	$4,343.00	$8,557.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $523.54 / $1,031.50	Professional		$129.37	$523.54	$1,031.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,177.85	Facility		$66.00	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $249.37 / $625.91	Professional		$86.85	$249.37	$625.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.10 / $459.72 / $900.00	Facility		$155.10	$459.72	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $295.10 / $704.15	Professional		$91.45	$295.10	$704.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $303.05 / $505.57	Professional		$96.80	$303.05	$505.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $308.66 / $590.66	Professional		$87.56	$308.66	$590.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $494.75 / $505.70	Facility		$55.00	$494.75	$505.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.10 / $2,311.12 / $2,742.60	Professional		$1,184.10	$2,311.12	$2,742.60
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 $89.22 / $277.06 / $541.91	Facility		$89.22	$277.06	$541.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $300.00 / $830.88	Professional		$94.42	$300.00	$830.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $272.36 / $272.36 / $1,137.91	Professional		$272.36	$272.36	$1,137.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $340.62 / $468.36	Professional		$87.85	$340.62	$468.36
United Facility/Professional Facility Modifier Low / Median / High Price $279.57 / $1,420.00 / $5,830.00	Facility		$279.57	$1,420.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.36 / $376.60 / $854.75	Professional		$262.36	$376.60	$854.75