Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,812.00 / $17,902.00	Facility		$934.95	$5,812.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $108.31 / $533.11	Professional		$92.23	$108.31	$533.11
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 $108.21 / $141.83 / $289.11	Professional		$108.21	$141.83	$289.11
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 $85.72 / $119.82 / $271.33	Professional		$85.72	$119.82	$271.33
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 $80.90 / $132.81 / $322.14	Professional		$80.90	$132.81	$322.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $112.91 / $158.07	Professional		$87.12	$112.91	$158.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $125.81 / $233.53	Professional		$95.83	$125.81	$233.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $485.30 / $7,929.30 / $12,000.00	Facility		$485.30	$7,929.30	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $733.84 / $746.56 / $898.88	Professional		$733.84	$746.56	$898.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $151.15	Professional		$32.34	$32.34	$151.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.12 / $127.38 / $246.41	Facility		$94.12	$127.38	$246.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $142.03 / $282.44	Professional		$81.43	$142.03	$282.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $330.79 / $330.79 / $330.79	Professional		$330.79	$330.79	$330.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $109.86 / $156.81	Professional		$69.69	$109.86	$156.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,120.00 / $15,471.00	Facility		$2,181.00	$7,120.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $113.51 / $249.64	Professional		$83.22	$113.51	$249.64