Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.86 / $4,429.00 / $16,125.00	Facility		$208.86	$4,429.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $148.75 / $615.60	Professional		$104.60	$148.75	$615.60
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 $127.04 / $197.50 / $421.63	Professional		$127.04	$197.50	$421.63
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 $110.14 / $157.34 / $306.45	Professional		$110.14	$157.34	$306.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $200.10 / $358.38	Facility		$56.00	$200.10	$358.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $188.23 / $356.98	Professional		$126.01	$188.23	$356.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $142.85 / $257.27	Professional		$60.68	$142.85	$257.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $190.30 / $341.93	Professional		$116.49	$190.30	$341.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $529.82 / $568.62	Facility		$55.00	$529.82	$568.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $826.56 / $1,272.72 / $1,521.98	Professional		$826.56	$1,272.72	$1,521.98
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 $134.63 / $186.88 / $284.47	Facility		$134.63	$186.88	$284.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $202.00 / $423.65	Professional		$128.55	$202.00	$423.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $375.44 / $375.44 / $558.16	Professional		$375.44	$375.44	$558.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $142.57 / $238.05	Professional		$84.96	$142.57	$238.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.36 / $178.92 / $386.08	Professional		$132.36	$178.92	$386.08