Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.73 / $5,165.00 / $17,380.00	Facility		$238.73	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $193.38 / $565.63	Professional		$91.73	$193.38	$565.63
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 $102.94 / $205.44 / $401.24	Professional		$102.94	$205.44	$401.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,321.49	Facility		$67.90	$100.00	$5,321.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $215.67 / $427.95	Professional		$107.19	$215.67	$427.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $1,658.93 / $4,917.14	Facility		$339.00	$1,658.93	$4,917.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $199.90 / $418.92	Professional		$98.13	$199.90	$418.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $120.78 / $339.05	Professional		$77.44	$120.78	$339.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $214.29 / $391.15	Professional		$100.79	$214.29	$391.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $568.40 / $579.00 / $12,000.00	Facility		$568.40	$579.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $821.76 / $1,497.36 / $1,798.95	Professional		$821.76	$1,497.36	$1,798.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $298.29	Professional		$32.34	$32.34	$298.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.73 / $192.33 / $333.65	Facility		$91.73	$192.33	$333.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $224.30 / $507.35	Professional		$101.59	$224.30	$507.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $315.33 / $315.33 / $618.27	Professional		$315.33	$315.33	$618.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $121.70 / $289.69	Professional		$77.44	$121.70	$289.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.71 / $217.45 / $566.74	Professional		$153.71	$217.45	$566.74