Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.08 / $4,969.00 / $17,380.00	Facility		$178.08	$4,969.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $142.25 / $485.25	Professional		$87.06	$142.25	$485.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $4,142.00 / $9,119.00	Facility		$700.00	$4,142.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $181.31 / $343.91	Professional		$104.70	$181.31	$343.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $177.82 / $343.95	Professional		$107.31	$177.82	$343.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $332.00 / $5,431.00	Facility		$153.58	$332.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $165.92 / $343.24	Professional		$99.03	$165.92	$343.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $95.81 / $212.46	Professional		$42.07	$95.81	$212.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $150.81 / $269.98	Professional		$88.23	$150.81	$269.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $507.10 / $516.00	Facility		$55.00	$507.10	$516.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $651.20 / $1,073.52 / $1,234.88	Professional		$651.20	$1,073.52	$1,234.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.81	Professional		$32.34	$32.34	$125.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.45 / $138.97 / $244.24	Facility		$92.45	$138.97	$244.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $183.63 / $366.11	Professional		$101.99	$183.63	$366.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $301.07 / $301.07 / $477.79	Professional		$301.07	$301.07	$477.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $77.34 / $196.71	Professional		$42.07	$77.34	$196.71
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $1,358.00 / $5,830.00	Facility		$140.00	$1,358.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $174.37 / $359.91	Professional		$115.32	$174.37	$359.91