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 $143.91 / $242.31 / $952.33	Professional		$143.91	$242.31	$952.33
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 $183.53 / $233.18 / $465.57	Professional		$183.53	$233.18	$465.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $143.29 / $225.18 / $433.18	Professional		$143.29	$225.18	$433.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.69 / $330.27 / $1,487.00	Facility		$329.69	$330.27	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $272.24 / $540.63	Professional		$161.13	$272.24	$540.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $200.67 / $380.84	Professional		$76.69	$200.67	$380.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $275.79 / $487.09	Professional		$158.69	$275.79	$487.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,067.82 / $1,092.30	Facility		$55.00	$1,067.82	$1,092.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.52 / $1,826.96 / $2,149.88	Professional		$1,125.52	$1,826.96	$2,149.88
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 $148.96 / $246.21 / $399.18	Facility		$148.96	$246.21	$399.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $288.67 / $622.54	Professional		$162.08	$288.67	$622.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $514.82 / $514.82 / $853.83	Professional		$514.82	$514.82	$853.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.37 / $165.72 / $352.66	Professional		$107.37	$165.72	$352.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,699.00 / $7,655.00	Facility		$1,198.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $263.52 / $592.58	Professional		$197.64	$263.52	$592.58