Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.08 / $4,704.00 / $16,125.00	Facility		$116.08	$4,704.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $104.18 / $422.85	Professional		$74.43	$104.18	$422.85
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 $87.99 / $135.72 / $293.77	Professional		$87.99	$135.72	$293.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $110.28 / $212.97	Professional		$77.20	$110.28	$212.97
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 $88.11 / $130.69 / $247.89	Professional		$88.11	$130.69	$247.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $95.39 / $169.61	Professional		$69.25	$95.39	$169.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $126.40 / $230.36	Professional		$80.56	$126.40	$230.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $369.39 / $389.60	Facility		$55.00	$369.39	$389.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $572.88 / $856.80 / $1,032.00	Professional		$572.88	$856.80	$1,032.00
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 $92.42 / $126.12 / $190.56	Facility		$92.42	$126.12	$190.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $139.34 / $289.33	Professional		$90.11	$139.34	$289.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $262.38 / $262.38 / $380.19	Professional		$262.38	$262.38	$380.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $96.95 / $156.86	Professional		$69.89	$96.95	$156.86
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 $92.22 / $121.99 / $265.22	Professional		$92.22	$121.99	$265.22