Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $4,420.00 / $16,125.00	Facility		$411.00	$4,420.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $156.11 / $874.14	Professional		$92.74	$156.11	$874.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $197.29 / $466.77	Professional		$141.12	$197.29	$466.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $4,886.39	Facility		$66.90	$100.00	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $171.77 / $326.13	Professional		$105.68	$171.77	$326.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.06 / $731.35 / $1,487.00	Facility		$730.06	$731.35	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $178.23 / $328.66	Professional		$109.18	$178.23	$328.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $147.80 / $258.30	Professional		$108.71	$147.80	$258.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $168.70 / $299.08	Professional		$98.42	$168.70	$299.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $448.11 / $481.60	Facility		$55.00	$448.11	$481.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $714.32 / $1,143.76 / $1,332.08	Professional		$714.32	$1,143.76	$1,332.08
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 $114.89 / $166.34 / $256.14	Facility		$114.89	$166.34	$256.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $192.94 / $344.51	Professional		$111.50	$192.94	$344.51
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,526.00 / $1,526.00 / $1,526.00	Facility		$1,526.00	$1,526.00	$1,526.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $324.77 / $324.77 / $542.37	Professional		$324.77	$324.77	$542.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.71 / $154.58 / $221.70	Professional		$98.71	$154.58	$221.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,699.00 / $7,655.00	Facility		$1,207.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.76 / $178.74 / $372.16	Professional		$130.76	$178.74	$372.16