Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $182.78 / $824.29	Professional		$136.43	$182.78	$824.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.29 / $240.18 / $501.22	Professional		$157.29	$240.18	$501.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $171.20 / $403.15	Professional		$115.16	$171.20	$403.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.97 / $121.69 / $286.70	Facility		$102.97	$121.69	$286.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $205.78 / $472.64	Professional		$150.66	$205.78	$472.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $204.20 / $252.94	Professional		$157.08	$204.20	$252.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.01 / $200.61 / $361.28	Professional		$141.01	$200.61	$361.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $659.20 / $692.50	Facility		$55.00	$659.20	$692.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.35 / $1,306.56 / $1,499.93	Professional		$1,027.35	$1,306.56	$1,499.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.72 / $203.41 / $291.79	Facility		$143.72	$203.41	$291.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $216.24 / $464.90	Professional		$154.05	$216.24	$464.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $462.07 / $462.07 / $575.07	Professional		$462.07	$462.07	$575.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $142.68 / $174.39 / $234.14	Professional		$142.68	$174.39	$234.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,699.00 / $7,940.00	Facility		$1,120.00	$2,699.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $206.23 / $637.15	Professional		$140.84	$206.23	$637.15