Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,829.00 / $16,713.00	Facility		$550.00	$5,829.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $184.12 / $511.85	Professional		$132.91	$184.12	$511.85
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 $166.49 / $242.22 / $457.98	Professional		$166.49	$242.22	$457.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,177.85	Facility		$66.00	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $142.07 / $202.95 / $409.31	Professional		$142.07	$202.95	$409.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.58 / $278.08 / $1,487.00	Facility		$277.58	$278.08	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.35 / $229.91 / $450.43	Professional		$154.35	$229.91	$450.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $195.28 / $298.77	Professional		$112.43	$195.28	$298.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.71 / $239.29 / $418.76	Professional		$152.71	$239.29	$418.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $697.64 / $760.52	Facility		$55.00	$697.64	$760.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.59 / $1,659.96 / $1,843.58	Professional		$1,081.59	$1,659.96	$1,843.58
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 $149.59 / $224.04 / $343.61	Facility		$149.59	$224.04	$343.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.65 / $242.66 / $518.58	Professional		$155.65	$242.66	$518.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $482.22 / $482.22 / $699.81	Professional		$482.22	$482.22	$699.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $191.14 / $301.83	Professional		$125.93	$191.14	$301.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,046.00 / $2,679.00 / $7,399.00	Facility		$1,046.00	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.12 / $211.05 / $481.84	Professional		$162.12	$211.05	$481.84