Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $205.62 / $847.30	Professional		$146.08	$205.62	$847.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,464.00 / $8,976.00	Facility		$1,759.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.91 / $272.42 / $506.61	Professional		$181.91	$272.42	$506.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,619.88	Facility		$66.00	$100.00	$1,619.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $168.11 / $244.25 / $471.90	Professional		$168.11	$244.25	$471.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $307.45 / $550.67	Facility		$56.00	$307.45	$550.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.42 / $266.72 / $513.94	Professional		$169.42	$266.72	$513.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $219.50 / $370.00	Professional		$168.65	$219.50	$370.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.28 / $269.30 / $492.94	Professional		$163.28	$269.30	$492.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $765.40 / $811.06	Facility		$55.00	$765.40	$811.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.96 / $1,794.08 / $2,087.63	Professional		$1,168.96	$1,794.08	$2,087.63
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 $175.37 / $255.00 / $388.86	Facility		$175.37	$255.00	$388.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.94 / $282.50 / $598.50	Professional		$172.94	$282.50	$598.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $525.74 / $525.74 / $826.28	Professional		$525.74	$525.74	$826.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $249.20 / $342.65	Professional		$168.65	$249.20	$342.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $243.09 / $558.23	Professional		$188.60	$243.09	$558.23