Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.74 / $5,165.00 / $17,054.00	Facility		$196.74	$5,165.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $167.44 / $640.34	Professional		$99.60	$167.44	$640.34
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 $105.22 / $170.92 / $390.74	Professional		$105.22	$170.92	$390.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,117.38	Facility		$67.90	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $159.25 / $343.09	Professional		$107.10	$159.25	$343.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.43 / $400.00 / $1,404.00	Facility		$181.43	$400.00	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $204.34 / $471.70	Professional		$115.45	$204.34	$471.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $144.66 / $318.64	Professional		$92.70	$144.66	$318.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $218.84 / $395.41	Professional		$115.61	$218.84	$395.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $780.24 / $800.04	Facility		$55.00	$780.24	$800.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $822.16 / $1,518.88 / $1,792.13	Professional		$822.16	$1,518.88	$1,792.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $179.03	Professional		$32.34	$32.34	$179.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.37 / $174.90 / $325.32	Facility		$107.37	$174.90	$325.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $227.74 / $515.51	Professional		$118.05	$227.74	$515.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $363.31 / $363.31 / $655.43	Professional		$363.31	$363.31	$655.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $145.97 / $295.08	Professional		$92.70	$145.97	$295.08
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $3,786.00 / $9,072.00	Facility		$600.00	$3,786.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $203.91 / $587.87	Professional		$146.74	$203.91	$587.87