Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.33 / $5,717.00 / $17,902.00	Facility		$1,085.33	$5,717.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $192.01 / $920.13	Professional		$159.62	$192.01	$920.13
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 $209.42 / $265.68 / $568.60	Professional		$209.42	$265.68	$568.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,854.54	Facility		$67.90	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $181.02 / $435.72	Professional		$123.42	$181.02	$435.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.01 / $1,091.68 / $3,039.51	Facility		$538.01	$1,091.68	$3,039.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $257.11 / $803.65	Professional		$180.00	$257.11	$803.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $250.37 / $903.80	Professional		$147.80	$250.37	$903.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.09 / $488.75 / $937.27	Professional		$188.09	$488.75	$937.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $864.56 / $919.27	Facility		$55.00	$864.56	$919.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.80 / $3,720.16 / $4,448.39	Professional		$1,324.80	$3,720.16	$4,448.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $563.34	Professional		$32.34	$32.34	$563.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.88 / $301.55 / $811.62	Facility		$188.88	$301.55	$811.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $299.25 / $858.92	Professional		$181.62	$299.25	$858.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.37 / $602.37 / $602.37	Professional		$602.37	$602.37	$602.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $231.35 / $743.99	Professional		$147.80	$231.35	$743.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,964.00 / $9,131.00	Facility		$1,433.90	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $215.48 / $604.84	Professional		$152.41	$215.48	$604.84