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 $87.70 / $208.31 / $528.42	Professional		$87.70	$208.31	$528.42
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 $132.96 / $200.08 / $636.27	Professional		$132.96	$200.08	$636.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $198.54 / $395.20	Professional		$100.00	$198.54	$395.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,992.00	Facility		$938.60	$940.26	$1,992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.41 / $236.66 / $484.94	Professional		$106.41	$236.66	$484.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.78 / $201.04 / $454.17	Professional		$119.78	$201.04	$454.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $261.12 / $510.02	Professional		$107.93	$261.12	$510.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $482.93 / $525.35	Facility		$55.00	$482.93	$525.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $991.27 / $1,902.96 / $2,214.75	Professional		$991.27	$1,902.96	$2,214.75
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 $124.43 / $234.18 / $433.16	Facility		$124.43	$234.18	$433.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $248.56 / $542.83	Professional		$109.04	$248.56	$542.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $327.89 / $327.89 / $830.39	Professional		$327.89	$327.89	$830.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $272.01 / $374.01	Professional		$108.31	$272.01	$374.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,399.00	Facility		$1,371.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.40 / $261.58 / $610.30	Professional		$191.40	$261.58	$610.30