Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $5,165.00 / $17,380.00	Facility		$265.00	$5,165.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $219.56 / $586.35	Professional		$73.05	$219.56	$586.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $193.70 / $438.92	Professional		$77.86	$193.70	$438.92
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 $87.17 / $206.21 / $460.40	Professional		$87.17	$206.21	$460.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $730.77 / $1,721.63	Facility		$339.00	$730.77	$1,721.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $225.86 / $552.09	Professional		$85.25	$225.86	$552.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $125.37 / $475.18	Professional		$92.87	$125.37	$475.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $257.77 / $512.11	Professional		$84.98	$257.77	$512.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.30 / $532.64 / $12,000.00	Facility		$478.30	$532.64	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.56 / $2,015.76 / $2,412.98	Professional		$1,081.56	$2,015.76	$2,412.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $328.29	Professional		$32.34	$32.34	$328.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.43 / $196.18 / $448.38	Facility		$81.43	$196.18	$448.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $230.05 / $684.54	Professional		$88.04	$230.05	$684.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.02 / $269.02 / $898.95	Professional		$269.02	$269.02	$898.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $136.16 / $406.23	Professional		$86.37	$136.16	$406.23
United Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $3,647.00 / $8,291.00	Facility		$580.00	$3,647.00	$8,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.46 / $276.31 / $661.74	Professional		$193.46	$276.31	$661.74