Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.21 / $4,702.00 / $16,125.00	Facility		$158.21	$4,702.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $116.07 / $347.13	Professional		$60.59	$116.07	$347.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,505.00 / $8,976.00	Facility		$1,882.00	$4,505.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $89.13 / $189.50	Professional		$58.86	$89.13	$189.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.80 / $125.46 / $235.95	Professional	50	$100.80	$125.46	$235.95
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 $70.68 / $120.94 / $231.11	Professional		$70.68	$120.94	$231.11
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 $72.17 / $139.40 / $276.39	Professional		$72.17	$139.40	$276.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $88.08 / $272.35	Professional		$65.15	$88.08	$272.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $158.80 / $308.77	Professional		$64.48	$158.80	$308.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.99 / $313.41 / $12,000.00	Facility		$295.99	$313.41	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,227.00 / $1,338.30	Professional		$1,227.00	$1,227.00	$1,338.30
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 $72.58 / $138.47 / $252.18	Facility		$72.58	$138.47	$252.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $146.36 / $306.56	Professional		$72.97	$146.36	$306.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $197.89 / $197.89 / $455.15	Professional		$197.89	$197.89	$455.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $106.81 / $224.27	Professional		$64.01	$106.81	$224.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,699.00 / $7,399.00	Facility		$1,198.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $142.94 / $314.77	Professional		$105.51	$142.94	$314.77