Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.93 / $4,848.00 / $16,573.00	Facility		$451.93	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $385.41 / $1,109.06	Professional		$139.37	$385.41	$1,109.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $256.80 / $910.66	Professional		$172.35	$256.80	$910.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $209.47 / $264.86 / $608.11	Professional	50	$209.47	$264.86	$608.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $2,841.27	Facility		$66.00	$100.00	$2,841.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $352.08 / $713.13	Professional		$155.78	$352.08	$713.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,816.42 / $3,253.30	Facility		$1,487.00	$1,816.42	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $409.20 / $789.30	Professional		$161.47	$409.20	$789.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.40 / $374.91 / $664.20	Professional		$168.40	$374.91	$664.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.56 / $383.90 / $738.27	Professional		$151.56	$383.90	$738.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $684.28 / $732.83	Facility		$55.00	$684.28	$732.83
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $534.08 / $586.26 / $586.26	Facility	52	$534.08	$586.26	$586.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.64 / $1,213.58 / $3,207.75	Professional		$1,076.64	$1,213.58	$3,207.75
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 $174.67 / $362.02 / $631.70	Facility		$174.67	$362.02	$631.70
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $199.19 / $199.19 / $199.19	Facility	52	$199.19	$199.19	$199.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $399.62 / $824.52	Professional		$163.22	$399.62	$824.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $482.63 / $482.63 / $1,365.01	Professional		$482.63	$482.63	$1,365.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $397.84 / $562.36	Professional		$151.16	$397.84	$562.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.17 / $439.66 / $920.06	Professional		$313.17	$439.66	$920.06