Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.29 / $4,704.00 / $16,125.00	Facility		$168.29	$4,704.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $140.13 / $537.19	Professional		$103.62	$140.13	$537.19
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 $125.86 / $186.71 / $399.75	Professional		$125.86	$186.71	$399.75
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 $103.45 / $147.79 / $299.27	Professional		$103.45	$147.79	$299.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $164.53 / $294.68	Facility		$56.00	$164.53	$294.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.84 / $178.52 / $347.47	Professional		$124.84	$178.52	$347.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $139.19 / $227.30	Professional		$98.66	$139.19	$227.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $172.41 / $303.32	Professional		$116.11	$172.41	$303.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $532.86 / $565.01	Facility		$55.00	$532.86	$565.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $819.60 / $1,146.48 / $1,398.60	Professional		$819.60	$1,146.48	$1,398.60
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 $133.47 / $172.09 / $254.70	Facility		$133.47	$172.09	$254.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.51 / $189.01 / $379.56	Professional		$126.51	$189.01	$379.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $367.31 / $367.31 / $498.34	Professional		$367.31	$367.31	$498.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $140.22 / $210.17	Professional		$101.98	$140.22	$210.17
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 $120.40 / $163.18 / $341.95	Professional		$120.40	$163.18	$341.95