Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.76 / $4,436.00 / $16,008.00	Facility		$246.76	$4,436.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $204.87 / $461.48	Professional		$100.90	$204.87	$461.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $173.26 / $495.85	Professional		$107.81	$173.26	$495.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.64 / $382.17 / $477.72	Professional	50	$229.64	$382.17	$477.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $210.81 / $430.94	Professional		$108.42	$210.81	$430.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.64 / $303.42 / $310.29	Facility		$227.64	$303.42	$310.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.50 / $253.10 / $616.10	Professional		$113.50	$253.10	$616.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $140.46 / $273.27 / $436.79	Professional		$140.46	$273.27	$436.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $267.89 / $503.99	Professional		$117.29	$267.89	$503.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $788.10 / $828.78	Facility		$55.00	$788.10	$828.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $960.22 / $2,149.80 / $2,462.08	Professional		$960.22	$2,149.80	$2,462.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.13 / $218.42 / $425.01	Facility		$98.13	$218.42	$425.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $270.18 / $668.13	Professional		$116.53	$270.18	$668.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $382.38 / $382.38 / $872.86	Professional		$382.38	$382.38	$872.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $327.92 / $491.88	Professional		$127.76	$327.92	$491.88
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,506.00 / $6,323.00	Facility		$466.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.72 / $257.60 / $604.94	Professional		$198.72	$257.60	$604.94