Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.35 / $9,674.00 / $22,788.00	Facility		$107.35	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $107.35 / $549.64	Professional		$91.69	$107.35	$549.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.12 / $3,122.00 / $7,160.00	Facility		$198.12	$3,122.00	$7,160.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.36 / $144.22 / $282.06	Professional		$109.36	$144.22	$282.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.66 / $118.01 / $272.19	Professional		$87.66	$118.01	$272.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $750.00 / $5,431.00	Facility		$120.98	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.19 / $135.41 / $294.80	Professional		$104.19	$135.41	$294.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $109.33 / $147.60	Professional		$86.37	$109.33	$147.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $123.53 / $231.18	Professional		$94.57	$123.53	$231.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $289.00 / $1,300.00	Facility		$55.00	$289.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.66 / $1,061.66 / $1,061.66	Professional		$1,061.66	$1,061.66	$1,061.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.27 / $132.07 / $230.40	Facility		$101.27	$132.07	$230.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $144.05 / $285.72	Professional		$104.66	$144.05	$285.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $341.03 / $341.03 / $341.03	Professional		$341.03	$341.03	$341.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $120.92 / $155.47	Professional		$86.37	$120.92	$155.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $118.99 / $286.50	Professional		$85.68	$118.99	$286.50