Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.68 / $5,505.00 / $17,013.00	Facility		$390.68	$5,505.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $139.47 / $354.29	Professional		$71.26	$139.47	$354.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,418.00 / $9,274.00	Facility		$1,546.00	$4,418.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $157.30 / $425.25	Professional		$102.07	$157.30	$425.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,177.85	Facility		$64.40	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $145.40 / $271.32	Professional		$82.79	$145.40	$271.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $154.76 / $274.47	Professional		$80.65	$154.76	$274.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $85.77 / $193.03	Professional		$63.53	$85.77	$193.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $129.22 / $239.73	Professional		$59.28	$129.22	$239.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $277.89 / $287.47	Facility		$55.00	$277.89	$287.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.52 / $1,236.00 / $1,236.00	Professional		$524.52	$1,236.00	$1,236.00
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 $69.38 / $127.82 / $204.51	Facility		$69.38	$127.82	$204.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $160.46 / $300.00	Professional		$82.38	$160.46	$300.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $225.73 / $225.73 / $452.94	Professional		$225.73	$225.73	$452.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.52 / $171.62	Professional		$51.29	$70.52	$171.62
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $158.43 / $309.32	Professional		$108.92	$158.43	$309.32