Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.54 / $5,829.00 / $17,701.00	Facility		$276.54	$5,829.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $231.99 / $644.92	Professional		$121.84	$231.99	$644.92
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 $122.96 / $221.60 / $525.82	Professional		$122.96	$221.60	$525.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,539.15	Facility		$67.90	$100.00	$6,539.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $202.05 / $429.97	Professional		$126.20	$202.05	$429.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.09 / $628.60 / $2,151.00	Facility		$228.09	$628.60	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.36 / $263.49 / $591.09	Professional		$139.36	$263.49	$591.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $173.95 / $402.94	Professional		$94.19	$173.95	$402.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.83 / $272.69 / $498.63	Professional		$137.83	$272.69	$498.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $929.82 / $955.20	Facility		$55.00	$929.82	$955.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.15 / $1,904.88 / $2,239.35	Professional		$1,008.15	$1,904.88	$2,239.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $220.93	Professional		$32.34	$32.34	$220.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.84 / $215.55 / $416.61	Facility		$121.84	$215.55	$416.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.56 / $291.18 / $662.89	Professional		$141.56	$291.18	$662.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $435.38 / $435.38 / $862.14	Professional		$435.38	$435.38	$862.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $154.41 / $373.19	Professional		$94.19	$154.41	$373.19
United Facility/Professional Facility Modifier Low / Median / High Price $597.49 / $3,772.00 / $9,072.00	Facility		$597.49	$3,772.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $266.04 / $656.58	Professional		$197.64	$266.04	$656.58