Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,153.00 / $16,573.00	Facility		$462.00	$5,153.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $237.90 / $1,279.00	Professional		$125.89	$237.90	$1,279.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $216.99 / $476.73	Professional		$155.04	$216.99	$476.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $145.07 / $242.44 / $461.68	Professional		$145.07	$242.44	$461.68
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 $130.47 / $245.98 / $478.83	Professional		$130.47	$245.98	$478.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $91.48 / $266.22	Professional		$67.76	$91.48	$266.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $149.63 / $314.83	Professional		$60.98	$149.63	$314.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $410.28 / $417.54 / $16,394.00	Facility		$410.28	$417.54	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,320.85 / $1,320.85	Professional		$1,100.00	$1,320.85	$1,320.85
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 $72.59 / $186.30 / $307.12	Facility		$72.59	$186.30	$307.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $247.86 / $467.74	Professional		$123.75	$247.86	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $493.39 / $493.39 / $912.94	Professional		$493.39	$493.39	$912.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $111.02 / $219.19	Professional		$61.52	$111.02	$219.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,072.00	Facility		$2,048.00	$4,060.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $271.02 / $631.74	Professional		$195.00	$271.02	$631.74