Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.83 / $3,989.00 / $15,795.00	Facility		$217.83	$3,989.00	$15,795.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $125.91 / $231.86	Professional		$28.76	$125.91	$231.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $4,544.00 / $9,274.00	Facility		$1,988.00	$4,544.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $92.73 / $328.74	Professional		$35.95	$92.73	$328.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,804.58	Facility		$66.00	$100.00	$5,804.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $108.97 / $317.08	Professional		$30.52	$108.97	$317.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Facility		$51.10	$51.10	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $93.41 / $306.70	Professional		$31.99	$93.41	$306.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $141.10 / $236.78	Professional		$32.64	$141.10	$236.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $116.00 / $230.50	Professional		$29.56	$116.00	$230.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $244.18 / $244.18	Facility		$55.00	$244.18	$244.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $495.82 / $961.20 / $1,122.23	Professional		$495.82	$961.20	$1,122.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $111.05	Professional		$32.34	$32.34	$111.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $119.32 / $252.96	Facility		$31.22	$119.32	$252.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $100.82 / $352.68	Professional		$32.89	$100.82	$352.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $101.10 / $515.84	Professional		$101.10	$101.10	$515.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $141.85 / $197.54	Professional		$26.36	$141.85	$197.54
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,506.00 / $5,830.00	Facility		$526.00	$1,506.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $183.17 / $413.29	Professional		$125.30	$183.17	$413.29