Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $16,713.00	Facility		$462.00	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $176.68 / $852.97	Professional		$132.88	$176.68	$852.97
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 $168.73 / $211.32 / $425.20	Professional		$168.73	$211.32	$425.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,100.20	Facility		$66.00	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $170.11 / $382.19	Professional		$122.61	$170.11	$382.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.21 / $537.16 / $1,992.00	Facility		$536.21	$537.16	$1,992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.54 / $226.37 / $455.05	Professional		$151.54	$226.37	$455.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $270.69 / $380.96	Professional		$203.28	$270.69	$380.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.31 / $267.69 / $444.33	Professional		$180.31	$267.69	$444.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.76 / $1,213.26 / $16,394.00	Facility		$1,196.76	$1,213.26	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.59 / $1,594.80 / $1,888.95	Professional		$1,253.59	$1,594.80	$1,888.95
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 $179.51 / $252.34 / $354.62	Facility		$179.51	$252.34	$354.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $242.07 / $479.59	Professional		$155.22	$242.07	$479.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $671.11	Professional		$529.26	$529.26	$671.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $256.57 / $365.90	Professional		$196.84	$256.57	$365.90
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $6,323.00	Facility		$548.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $196.18 / $467.14	Professional		$152.13	$196.18	$467.14