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 $129.31 / $201.64 / $876.73	Professional		$129.31	$201.64	$876.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.74 / $224.94 / $453.53	Professional		$169.74	$224.94	$453.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,177.85	Facility		$66.00	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $235.80 / $478.39	Professional		$153.88	$235.80	$478.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.07 / $265.43 / $584.03	Professional		$162.07	$265.43	$584.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $224.63 / $515.48	Professional		$111.69	$224.63	$515.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.93 / $316.39 / $590.54	Professional		$177.93	$316.39	$590.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $794.60 / $872.05 / $12,000.00	Facility		$794.60	$872.05	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.35 / $2,148.71 / $2,554.13	Professional		$1,225.35	$2,148.71	$2,554.13
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 $144.36 / $270.13 / $492.27	Facility		$144.36	$270.13	$492.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.08 / $285.76 / $626.08	Professional		$171.08	$285.76	$626.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $543.99 / $543.99 / $965.94	Professional		$543.99	$543.99	$965.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $156.37 / $211.28 / $424.33	Professional		$156.37	$211.28	$424.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.74 / $269.26 / $669.17	Professional		$201.74	$269.26	$669.17