Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $5,206.00 / $15,572.00	Facility		$411.00	$5,206.00	$15,572.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $148.25 / $521.76	Professional		$66.05	$148.25	$521.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $203.59 / $423.60	Professional		$96.01	$203.59	$423.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.59 / $171.32 / $335.77	Professional		$83.59	$171.32	$335.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $188.23 / $440.17	Professional		$83.21	$188.23	$440.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $120.21 / $390.70	Professional		$85.26	$120.21	$390.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $226.72 / $435.89	Professional		$87.25	$226.72	$435.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $418.95 / $424.22 / $12,000.00	Facility		$418.95	$424.22	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $850.70 / $1,637.60 / $1,902.08	Professional		$850.70	$1,637.60	$1,902.08
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 $87.31 / $166.30 / $361.76	Facility		$87.31	$166.30	$361.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $202.21 / $487.44	Professional		$84.91	$202.21	$487.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $291.04 / $291.04 / $830.81	Professional		$291.04	$291.04	$830.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $139.77 / $321.75	Professional		$87.38	$139.77	$321.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,637.00 / $7,399.00	Facility		$1,031.00	$2,637.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $219.15 / $574.16	Professional		$156.47	$219.15	$574.16