Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.06 / $5,505.00 / $16,713.00	Facility		$186.06	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $178.99 / $658.70	Professional		$109.93	$178.99	$658.70
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 $99.56 / $153.15 / $391.22	Professional		$99.56	$153.15	$391.22
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 $116.77 / $170.71 / $335.16	Professional		$116.77	$170.71	$335.16
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 $129.33 / $201.92 / $392.63	Professional		$129.33	$201.92	$392.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $195.16 / $319.08	Professional		$144.56	$195.16	$319.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $209.93 / $377.87	Professional		$128.79	$209.93	$377.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $869.40 / $885.84 / $16,394.00	Facility		$869.40	$885.84	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,314.00 / $2,563.92 / $2,563.92	Professional		$2,314.00	$2,563.92	$2,563.92
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 $143.15 / $208.56 / $304.88	Facility		$143.15	$208.56	$304.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.65 / $214.43 / $432.16	Professional		$130.65	$214.43	$432.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $411.18 / $411.18 / $635.98	Professional		$411.18	$411.18	$635.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $205.70 / $284.81	Professional		$131.38	$205.70	$284.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,679.00 / $7,399.00	Facility		$1,407.00	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $189.25 / $437.64	Professional		$146.02	$189.25	$437.64