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 $107.24 / $122.61 / $603.23	Professional		$107.24	$122.61	$603.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $154.94 / $318.58	Professional		$112.75	$154.94	$318.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $14,865.02	Facility		$67.90	$100.00	$14,865.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $137.66 / $315.11	Professional		$99.72	$137.66	$315.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.57 / $5,035.06 / $14,315.01	Facility		$447.57	$5,035.06	$14,315.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $151.80 / $369.74	Professional		$107.53	$151.80	$369.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $126.85 / $171.25	Professional		$77.81	$126.85	$171.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $141.60 / $263.14	Professional		$107.65	$141.60	$263.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $548.90 / $12,000.00 / $24,066.40	Facility		$548.90	$12,000.00	$24,066.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $828.80 / $842.96 / $1,017.08	Professional		$828.80	$842.96	$1,017.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $170.90	Professional		$32.34	$32.34	$170.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.48 / $144.75 / $241.74	Facility		$113.48	$144.75	$241.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $160.63 / $314.57	Professional		$107.53	$160.63	$314.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $374.29 / $374.29 / $374.29	Professional		$374.29	$374.29	$374.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $116.00 / $140.56	Professional		$77.81	$116.00	$140.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,361.00 / $9,451.00 / $20,828.00	Facility		$4,361.00	$9,451.00	$20,828.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.76 / $128.16 / $279.13	Professional		$94.76	$128.16	$279.13