Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.55 / $4,848.00 / $16,109.00	Facility		$147.55	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $137.03 / $553.28	Professional		$121.03	$137.03	$553.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $194.31 / $390.83	Professional		$138.62	$194.31	$390.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $200.06 / $232.06 / $306.81	Professional	50	$200.06	$232.06	$306.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,142.12	Facility		$66.00	$100.00	$5,142.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $161.83 / $378.02	Professional		$113.28	$161.83	$378.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $168.00 / $555.00	Facility		$123.25	$168.00	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $186.02 / $423.72	Professional		$133.59	$186.02	$423.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $191.83 / $249.38	Professional		$141.47	$191.83	$249.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $191.83 / $371.03	Professional		$145.01	$191.83	$371.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,026.06 / $1,049.40	Facility		$55.00	$1,026.06	$1,049.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.96 / $1,310.70 / $2,268.59	Professional		$1,088.96	$1,310.70	$2,268.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.57 / $212.55 / $345.52	Facility		$155.57	$212.55	$345.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $210.00 / $436.56	Professional		$135.94	$210.00	$436.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $493.00 / $519.45	Professional		$493.00	$493.00	$519.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $155.06 / $198.06 / $267.62	Professional		$155.06	$198.06	$267.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $156.10 / $365.29	Professional		$120.49	$156.10	$365.29