Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.20 / $5,206.00 / $17,380.00	Facility		$550.20	$5,206.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.90 / $412.80 / $1,188.63	Professional		$121.90	$412.80	$1,188.63
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 $125.18 / $363.09 / $775.66	Professional		$125.18	$363.09	$775.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,367.09	Facility		$67.90	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $350.46 / $837.89	Professional		$129.63	$350.46	$837.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.29 / $1,658.93 / $4,716.43	Facility		$351.29	$1,658.93	$4,716.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $411.37 / $973.59	Professional		$136.59	$411.37	$973.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $165.37 / $741.42	Professional		$107.59	$165.37	$741.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $408.02 / $843.00	Professional		$131.82	$408.02	$843.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $890.88 / $911.52 / $12,000.00	Facility		$890.88	$911.52	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,635.44 / $3,124.08 / $3,684.75	Professional		$1,635.44	$3,124.08	$3,684.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $606.55	Professional		$32.34	$32.34	$606.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $311.35 / $723.54	Facility		$128.44	$311.35	$723.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $425.58 / $1,108.89	Professional		$139.78	$425.58	$1,108.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $416.14 / $416.14 / $1,413.93	Professional		$416.14	$416.14	$1,413.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $166.91 / $634.11	Professional		$107.59	$166.91	$634.11
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 $335.44 / $472.80 / $1,088.67	Professional		$335.44	$472.80	$1,088.67