Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.55 / $5,178.00 / $17,538.00	Facility		$145.55	$5,178.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $121.71 / $335.43	Professional		$60.40	$121.71	$335.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $136.96 / $294.66	Professional		$64.98	$136.96	$294.66
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 $68.13 / $131.63 / $261.50	Professional		$68.13	$131.63	$261.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $431.19 / $1,868.21	Facility		$145.47	$431.19	$1,868.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $152.65 / $349.80	Professional		$72.41	$152.65	$349.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $119.51 / $253.75	Professional		$73.76	$119.51	$253.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $165.96 / $298.06	Professional		$65.34	$165.96	$298.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $368.75 / $375.60	Facility		$55.00	$368.75	$375.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $1,183.11 / $1,394.70	Professional		$825.00	$1,183.11	$1,394.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $139.09	Professional		$32.34	$32.34	$139.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $156.25 / $268.80	Facility		$74.72	$156.25	$268.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $164.76 / $397.90	Professional		$75.80	$164.76	$397.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $209.04 / $209.04 / $492.75	Professional		$209.04	$209.04	$492.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $150.71 / $235.05	Professional		$81.86	$150.71	$235.05
United Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $3,964.00 / $9,131.00	Facility		$740.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $153.36 / $360.68	Professional		$110.22	$153.36	$360.68