Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $4,932.00 / $16,713.00	Facility		$464.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $320.32 / $1,434.00	Professional		$237.56	$320.32	$1,434.00
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 $296.22 / $419.52 / $810.94	Professional		$296.22	$419.52	$810.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,663.63	Facility		$66.00	$100.00	$6,663.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $245.41 / $356.10 / $854.61	Professional		$245.41	$356.10	$854.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $494.22 / $885.17	Facility		$56.00	$494.22	$885.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.33 / $397.36 / $770.72	Professional		$273.33	$397.36	$770.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $269.92 / $352.84 / $563.95	Professional		$269.92	$352.84	$563.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.45 / $418.97 / $722.89	Professional		$272.45	$418.97	$722.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,822.20 / $1,850.40	Facility		$55.00	$1,822.20	$1,850.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.92 / $2,696.48 / $3,186.15	Professional		$1,913.92	$2,696.48	$3,186.15
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 $314.20 / $426.83 / $629.55	Facility		$314.20	$426.83	$629.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $424.26 / $901.56	Professional		$281.45	$424.26	$901.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $843.86 / $843.86 / $1,200.89	Professional		$843.86	$843.86	$1,200.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $279.27 / $379.77 / $522.17	Professional		$279.27	$379.77	$522.17
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 $279.45 / $366.08 / $797.18	Professional		$279.45	$366.08	$797.18