Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.42 / $4,932.00 / $16,573.00	Facility		$294.42	$4,932.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $59.17 / $247.86	Professional		$47.96	$59.17	$247.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $77.01 / $154.25	Professional		$60.13	$77.01	$154.25
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 $56.39 / $75.23 / $169.06	Professional		$56.39	$75.23	$169.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $86.37	Facility		$86.37	$86.37	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $74.98 / $154.31	Professional		$54.45	$74.98	$154.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $82.74 / $291.73	Professional		$60.23	$82.74	$291.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $64.59 / $113.00	Professional		$49.92	$64.59	$113.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $714.13 / $817.17	Facility		$55.00	$714.13	$817.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $817.17 / $1,826.96 / $3,583.09	Professional		$817.17	$1,826.96	$3,583.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $49.27	Professional		$32.34	$32.34	$49.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $73.48 / $535.91	Facility		$53.98	$73.48	$535.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $87.95 / $156.18	Professional		$55.90	$87.95	$156.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $182.68 / $207.92	Professional		$182.68	$182.68	$207.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $66.92 / $437.60	Professional		$53.49	$66.92	$437.60
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $5,830.00	Facility		$545.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $71.45 / $189.29	Professional		$51.97	$71.45	$189.29