Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.14 / $4,848.00 / $16,573.00	Facility		$118.14	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $97.90 / $334.13	Professional		$68.65	$97.90	$334.13
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 $79.79 / $116.58 / $211.47	Professional		$79.79	$116.58	$211.47
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 $67.68 / $96.68 / $218.27	Professional		$67.68	$96.68	$218.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Facility		$118.90	$118.90	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $118.56 / $241.14	Professional		$72.90	$118.56	$241.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $160.06 / $322.56	Professional		$80.33	$160.06	$322.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.14 / $199.81	Professional		$70.79	$120.14	$199.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $736.69 / $1,055.95	Facility		$55.00	$736.69	$1,055.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.05 / $2,133.71 / $3,694.98	Professional		$1,068.05	$2,133.71	$3,694.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $99.07	Professional		$32.34	$32.34	$99.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.64 / $126.95 / $394.00	Facility		$69.64	$126.95	$394.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $133.97 / $284.89	Professional		$74.86	$133.97	$284.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $230.90 / $230.90 / $359.53	Professional		$230.90	$230.90	$359.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $132.31 / $483.84	Professional		$72.09	$132.31	$483.84
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 $89.22 / $127.76 / $350.11	Professional		$89.22	$127.76	$350.11