Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.18 / $4,848.00 / $16,573.00	Facility		$228.18	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $124.35 / $382.00	Professional		$67.81	$124.35	$382.00
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 $65.48 / $93.45 / $181.89	Professional		$65.48	$93.45	$181.89
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 $83.11 / $135.84 / $239.73	Professional		$83.11	$135.84	$239.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.29 / $95.45 / $1,487.00	Facility		$95.29	$95.45	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $124.25 / $239.14	Professional		$61.67	$124.25	$239.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $72.97 / $116.54	Professional		$48.00	$72.97	$116.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $81.80 / $154.97	Professional		$43.55	$81.80	$154.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $259.45 / $299.70	Facility		$55.00	$259.45	$299.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,026.19	Professional		$1,017.00	$1,017.00	$1,026.19
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 $52.22 / $97.66 / $190.79	Facility		$52.22	$97.66	$190.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $125.26 / $227.33	Professional		$67.79	$125.26	$227.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.59 / $141.59 / $241.37	Professional		$141.59	$141.59	$241.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $88.27 / $131.35	Professional		$43.57	$88.27	$131.35
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 $60.12 / $120.71 / $216.72	Professional		$60.12	$120.71	$216.72