Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.41 / $5,165.00 / $17,380.00	Facility		$217.41	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $178.33 / $425.79	Professional		$70.84	$178.33	$425.79
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 $80.18 / $172.87 / $345.13	Professional		$80.18	$172.87	$345.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,886.39	Facility		$67.90	$100.00	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $179.05 / $365.76	Professional		$82.83	$179.05	$365.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $888.30 / $2,226.34	Facility		$339.00	$888.30	$2,226.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $176.59 / $386.42	Professional		$77.08	$176.59	$386.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $90.61 / $293.83	Professional		$50.63	$90.61	$293.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $177.25 / $334.80	Professional		$73.54	$177.25	$334.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $415.25 / $423.40 / $12,000.00	Facility		$415.25	$423.40	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $675.97 / $1,272.24 / $1,503.30	Professional		$675.97	$1,272.24	$1,503.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $250.40	Professional		$32.34	$32.34	$250.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $136.40 / $291.27	Facility		$69.22	$136.40	$291.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $185.97 / $441.29	Professional		$79.23	$185.97	$441.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $236.12 / $236.12 / $540.27	Professional		$236.12	$236.12	$540.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $83.01 / $251.22	Professional		$50.63	$83.01	$251.22
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $3,732.00 / $9,072.00	Facility		$545.00	$3,732.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.71 / $186.51 / $411.67	Professional		$133.71	$186.51	$411.67