Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.21 / $5,165.00 / $17,380.00	Facility		$243.21	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $190.24 / $510.10	Professional		$82.94	$190.24	$510.10
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 $99.22 / $208.69 / $403.59	Professional		$99.22	$208.69	$403.59
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 $94.87 / $203.47 / $415.02	Professional		$94.87	$203.47	$415.02
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 $99.04 / $212.82 / $439.43	Professional		$99.04	$212.82	$439.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $123.95 / $351.73	Professional		$98.29	$123.95	$351.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $205.77 / $390.81	Professional		$90.25	$205.77	$390.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $508.30 / $517.25 / $12,000.00	Facility		$508.30	$517.25	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $807.56 / $1,478.72 / $1,776.45	Professional		$807.56	$1,478.72	$1,776.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $293.30	Professional		$32.34	$32.34	$293.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $197.50 / $338.70	Facility		$99.13	$197.50	$338.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $225.20 / $510.40	Professional		$104.49	$225.20	$510.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $286.64 / $626.86	Professional		$286.64	$286.64	$626.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $127.77 / $289.43	Professional		$89.57	$127.77	$289.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,964.00 / $9,131.00	Facility		$1,089.45	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $216.97 / $575.70	Professional		$157.47	$216.97	$575.70