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 $193.14 / $230.33 / $1,257.75	Professional		$193.14	$230.33	$1,257.75
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 $225.21 / $303.73 / $621.29	Professional		$225.21	$303.73	$621.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $163.02 / $232.89 / $536.86	Professional		$163.02	$232.89	$536.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $288.60 / $612.50	Professional		$213.49	$288.60	$612.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $312.08 / $421.32	Professional		$178.70	$312.08	$421.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.55 / $334.02 / $605.11	Professional		$247.55	$334.02	$605.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,441.45 / $1,460.70 / $12,000.00	Facility		$1,441.45	$1,460.70	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.88 / $1,849.04 / $2,171.78	Professional		$1,808.88	$1,849.04	$2,171.78
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 $225.73 / $316.19 / $425.41	Facility		$225.73	$316.19	$425.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.54 / $302.04 / $637.85	Professional		$216.54	$302.04	$637.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $776.81 / $776.81 / $780.42	Professional		$776.81	$776.81	$780.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $200.15 / $281.52 / $346.63	Professional		$200.15	$281.52	$346.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.41 / $233.71 / $516.51	Professional		$180.41	$233.71	$516.51