Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.17 / $5,165.00 / $17,380.00	Facility		$228.17	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $175.69 / $479.28	Professional		$74.17	$175.69	$479.28
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 $87.42 / $190.22 / $386.49	Professional		$87.42	$190.22	$386.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,170.71	Facility		$67.90	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $92.47 / $199.65 / $409.50	Professional		$92.47	$199.65	$409.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $1,658.93 / $4,716.43	Facility		$339.00	$1,658.93	$4,716.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.84 / $182.83 / $428.40	Professional		$84.84	$182.83	$428.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $123.95 / $341.63	Professional		$92.87	$123.95	$341.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $199.25 / $379.59	Professional		$84.98	$199.25	$379.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.30 / $488.30 / $12,000.00	Facility		$478.30	$488.30	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $780.81 / $1,431.28 / $1,719.90	Professional		$780.81	$1,431.28	$1,719.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $284.11	Professional		$32.34	$32.34	$284.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.18 / $152.06 / $316.68	Facility		$80.18	$152.06	$316.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $201.60 / $490.60	Professional		$86.70	$201.60	$490.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.02 / $269.02 / $606.83	Professional		$269.02	$269.02	$606.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $127.77 / $281.13	Professional		$84.35	$127.77	$281.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,904.00 / $4,030.00 / $12,135.00	Facility		$1,904.00	$4,030.00	$12,135.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $201.08 / $449.21	Professional		$147.00	$201.08	$449.21