Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.73 / $4,932.00 / $16,573.00	Facility		$266.73	$4,932.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $122.01 / $266.73	Professional		$47.76	$122.01	$266.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $131.94 / $341.28	Professional		$57.63	$131.94	$341.28
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 $48.93 / $134.97 / $302.38	Professional		$48.93	$134.97	$302.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $85.08	Facility		$85.08	$85.08	$85.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $121.22 / $300.60	Professional		$51.87	$121.22	$300.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $177.11 / $302.89	Professional		$59.11	$177.11	$302.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $116.49 / $213.28	Professional		$51.28	$116.49	$213.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $347.28 / $700.88	Facility		$55.00	$347.28	$700.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.43 / $2,020.93 / $3,514.80	Professional		$1,002.43	$2,020.93	$3,514.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $104.98	Professional		$32.34	$32.34	$104.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.28 / $128.91 / $329.60	Facility		$51.28	$128.91	$329.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $131.71 / $317.86	Professional		$53.66	$131.71	$317.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $165.49 / $392.70	Professional		$165.49	$165.49	$392.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $146.47 / $454.35	Professional		$52.52	$146.47	$454.35
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $5,830.00	Facility		$545.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $167.55 / $400.11	Professional		$96.86	$167.55	$400.11