Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.95 / $5,165.00 / $17,380.00	Facility		$266.95	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $206.72 / $599.19	Professional		$97.86	$206.72	$599.19
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 $113.78 / $223.70 / $449.03	Professional		$113.78	$223.70	$449.03
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 $115.56 / $238.18 / $471.07	Professional		$115.56	$238.18	$471.07
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 $109.63 / $219.86 / $445.60	Professional		$109.63	$219.86	$445.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $126.80 / $361.69	Professional		$93.45	$126.80	$361.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $228.68 / $417.44	Professional		$106.28	$228.68	$417.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $599.40 / $609.40 / $12,000.00	Facility		$599.40	$609.40	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $902.00 / $1,597.44 / $1,922.85	Professional		$902.00	$1,597.44	$1,922.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $317.86	Professional		$32.34	$32.34	$317.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.21 / $207.36 / $361.69	Facility		$108.21	$207.36	$361.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.23 / $240.61 / $527.95	Professional		$111.23	$240.61	$527.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.40 / $338.40 / $681.02	Professional		$338.40	$338.40	$681.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.90 / $127.74 / $309.00	Professional		$92.90	$127.74	$309.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,928.00 / $9,131.00	Facility		$1,089.45	$3,928.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.04 / $231.27 / $517.24	Professional		$166.04	$231.27	$517.24