Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.32 / $4,702.00 / $16,125.00	Facility		$420.32	$4,702.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $372.36 / $1,124.88	Professional		$170.12	$372.36	$1,124.88
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 $206.21 / $280.27 / $806.78	Professional		$206.21	$280.27	$806.78
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 $197.17 / $384.38 / $742.29	Professional		$197.17	$384.38	$742.29
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 $193.86 / $402.10 / $862.96	Professional		$193.86	$402.10	$862.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $245.84 / $819.75	Professional		$141.85	$245.84	$819.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.03 / $473.70 / $907.64	Professional		$197.03	$473.70	$907.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $957.17 / $12,000.00	Facility		$876.64	$957.17	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.40 / $3,347.52 / $3,966.53	Professional		$1,769.40	$3,347.52	$3,966.53
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 $195.01 / $377.91 / $741.67	Facility		$195.01	$377.91	$741.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $432.39 / $1,002.90	Professional		$195.10	$432.39	$1,002.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $605.53 / $605.53 / $1,465.07	Professional		$605.53	$605.53	$1,465.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $241.14 / $675.00	Professional		$158.87	$241.14	$675.00
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 $327.49 / $423.92 / $972.62	Professional		$327.49	$423.92	$972.62