Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.45 / $5,076.00 / $17,380.00	Facility		$306.45	$5,076.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $254.20 / $539.23	Professional		$86.30	$254.20	$539.23
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 $92.80 / $234.29 / $512.30	Professional		$92.80	$234.29	$512.30
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 $98.40 / $234.59 / $532.22	Professional		$98.40	$234.59	$532.22
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 $103.87 / $265.68 / $633.02	Professional		$103.87	$265.68	$633.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $152.63 / $540.15	Professional		$104.30	$152.63	$540.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $312.89 / $582.33	Professional		$95.81	$312.89	$582.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $539.79 / $606.13 / $12,000.00	Facility		$539.79	$606.13	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.77 / $2,293.28 / $2,744.93	Professional		$1,230.77	$2,293.28	$2,744.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $454.24	Professional		$32.34	$32.34	$454.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.31 / $230.13 / $514.42	Facility		$101.31	$230.13	$514.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $266.93 / $786.46	Professional		$107.83	$266.93	$786.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $303.70 / $1,041.83	Professional		$303.70	$303.70	$1,041.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $192.50 / $461.78	Professional		$115.60	$192.50	$461.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $6,955.00 / $16,173.00	Facility		$3,087.00	$6,955.00	$16,173.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.21 / $320.39 / $779.52	Professional		$223.21	$320.39	$779.52