Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,159.00 / $17,030.00	Facility		$1,174.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $125.22 / $680.22	Professional		$102.27	$125.22	$680.22
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 $134.41 / $182.70 / $372.13	Professional		$134.41	$182.70	$372.13
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 $100.00 / $133.71 / $302.79	Professional		$100.00	$133.71	$302.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.84 / $170.12 / $359.38	Professional		$122.84	$170.12	$359.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $165.94 / $224.02	Professional		$104.24	$165.94	$224.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $190.83 / $361.75	Professional		$139.63	$190.83	$361.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $568.32 / $4,754.80 / $16,394.00	Facility		$568.32	$4,754.80	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.23 / $1,461.62 / $1,509.85	Professional		$1,341.23	$1,461.62	$1,509.85
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 $142.59 / $182.57 / $265.50	Facility		$142.59	$182.57	$265.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.97 / $177.37 / $344.13	Professional		$123.97	$177.37	$344.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $422.07 / $422.07 / $422.07	Professional		$422.07	$422.07	$422.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $156.37 / $197.19	Professional		$133.63	$156.37	$197.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $130.80 / $280.17	Professional		$101.05	$130.80	$280.17