Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.05 / $4,397.00 / $16,125.00	Facility		$380.05	$4,397.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $142.33 / $417.52	Professional		$79.94	$142.33	$417.52
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 $121.68 / $170.12 / $425.23	Professional		$121.68	$170.12	$425.23
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 $91.88 / $157.19 / $291.70	Professional		$91.88	$157.19	$291.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,681.08	Facility		$938.60	$940.26	$1,681.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $162.26 / $289.08	Professional		$92.13	$162.26	$289.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $138.50 / $215.55	Professional		$85.77	$138.50	$215.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $140.53 / $249.08	Professional		$78.30	$140.53	$249.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $354.23 / $380.71	Facility		$55.00	$354.23	$380.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $571.52 / $642.98 / $1,240.00	Professional		$571.52	$642.98	$1,240.00
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 $91.21 / $137.22 / $214.77	Facility		$91.21	$137.22	$214.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $170.36 / $313.27	Professional		$96.03	$170.36	$313.27
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 $276.01 / $276.01 / $497.21	Professional		$276.01	$276.01	$497.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $138.50 / $207.74	Professional		$77.91	$138.50	$207.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,699.00 / $7,399.00	Facility		$1,207.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $166.53 / $343.14	Professional		$117.58	$166.53	$343.14