Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.96 / $7,108.00 / $18,681.00	Facility		$382.96	$7,108.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $382.96 / $1,540.02	Professional		$173.64	$382.96	$1,540.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,484.00 / $16,676.00	Facility		$2,675.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.89 / $454.78 / $880.44	Professional		$242.89	$454.78	$880.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $365.14 / $723.34	Professional		$201.98	$365.14	$723.34
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 $209.84 / $409.12 / $981.42	Professional		$209.84	$409.12	$981.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $230.13 / $842.93	Professional		$112.06	$230.13	$842.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.21 / $516.61 / $1,053.66	Professional		$210.21	$516.61	$1,053.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,022.34 / $1,049.94	Facility		$55.00	$1,022.34	$1,049.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,430.00 / $4,557.05 / $4,719.60	Professional		$4,430.00	$4,557.05	$4,719.60
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 $208.29 / $368.90 / $857.70	Facility		$208.29	$368.90	$857.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.02 / $449.18 / $1,179.06	Professional		$213.02	$449.18	$1,179.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $673.23 / $673.23 / $1,588.06	Professional		$673.23	$673.23	$1,588.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $211.98 / $780.48	Professional		$156.88	$211.98	$780.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,218.00 / $9,131.00	Facility		$2,230.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.75 / $466.14 / $1,107.96	Professional		$355.75	$466.14	$1,107.96