Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,310.00 / $16,713.00	Facility		$1,174.00	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $183.61 / $1,004.76	Professional		$151.37	$183.61	$1,004.76
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 $172.20 / $248.33 / $515.66	Professional		$172.20	$248.33	$515.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,551.18	Facility		$66.00	$100.00	$5,551.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $189.87 / $433.92	Professional		$131.03	$189.87	$433.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,291.00 / $1,293.28 / $2,312.23	Facility		$1,291.00	$1,293.28	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $242.51 / $546.01	Professional		$182.30	$242.51	$546.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $231.20 / $273.38 / $437.34	Professional		$231.20	$273.38	$437.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.78 / $269.39 / $492.79	Professional		$197.78	$269.39	$492.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,108.14 / $3,728.65 / $12,000.00	Facility		$1,108.14	$3,728.65	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,054.09 / $8,054.09 / $8,054.09	Professional		$8,054.09	$8,054.09	$8,054.09
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 $206.06 / $263.70 / $408.42	Facility		$206.06	$263.70	$408.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.70 / $264.69 / $514.45	Professional		$185.70	$264.69	$514.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $623.42 / $623.42 / $623.42	Professional		$623.42	$623.42	$623.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $214.52 / $276.14 / $437.34	Professional		$214.52	$276.14	$437.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,084.96 / $4,060.00 / $9,131.00	Facility		$2,084.96	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.53 / $188.65 / $428.20	Professional		$145.53	$188.65	$428.20