Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.33 / $5,076.00 / $17,380.00	Facility		$260.33	$5,076.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $207.15 / $467.82	Professional		$73.51	$207.15	$467.82
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 $78.28 / $189.32 / $425.51	Professional		$78.28	$189.32	$425.51
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 $84.72 / $197.74 / $443.41	Professional		$84.72	$197.74	$443.41
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 $83.47 / $225.18 / $584.20	Professional		$83.47	$225.18	$584.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $109.01 / $453.10	Professional		$90.13	$109.01	$453.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $251.86 / $511.46	Professional		$80.79	$251.86	$511.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $498.99 / $498.99 / $12,000.00	Facility		$498.99	$498.99	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.23 / $1,920.48 / $2,273.10	Professional		$1,013.23	$1,920.48	$2,273.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $375.49	Professional		$32.34	$32.34	$375.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $174.42 / $424.25	Facility		$76.95	$174.42	$424.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $230.02 / $667.32	Professional		$84.49	$230.02	$667.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $260.99 / $260.99 / $857.26	Professional		$260.99	$260.99	$857.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $114.56 / $387.46	Professional		$72.73	$114.56	$387.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $262.80 / $655.88	Professional		$186.76	$262.80	$655.88