Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.29 / $4,969.00 / $17,133.00	Facility		$149.29	$4,969.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $126.51 / $420.02	Professional		$81.40	$126.51	$420.02
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 $82.15 / $134.13 / $315.27	Professional		$82.15	$134.13	$315.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,021.77	Facility		$67.90	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $110.15 / $260.42	Professional		$81.39	$110.15	$260.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $888.30 / $2,135.46	Facility		$339.00	$888.30	$2,135.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $159.12 / $428.45	Professional		$91.90	$159.12	$428.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $106.54 / $419.48	Professional		$70.36	$106.54	$419.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $243.00 / $457.15	Professional		$87.29	$243.00	$457.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $593.88 / $604.02 / $12,000.00	Facility		$593.88	$604.02	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $951.42 / $1,801.68 / $2,125.13	Professional		$951.42	$1,801.68	$2,125.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $216.61	Professional		$32.34	$32.34	$216.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.53 / $132.54 / $387.22	Facility		$79.53	$132.54	$387.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $178.71 / $494.11	Professional		$94.63	$178.71	$494.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $292.81 / $292.81 / $477.94	Professional		$292.81	$292.81	$477.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $107.47 / $358.68	Professional		$70.36	$107.47	$358.68
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,786.00 / $9,072.00	Facility		$705.00	$3,786.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $155.22 / $397.71	Professional		$108.81	$155.22	$397.71