Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.97 / $4,848.00 / $16,573.00	Facility		$261.97	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $234.61 / $1,119.00	Professional		$135.94	$234.61	$1,119.00
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 $167.14 / $226.13 / $507.33	Professional		$167.14	$226.13	$507.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,591.57	Facility		$66.00	$100.00	$5,591.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $267.52 / $510.34	Professional		$152.25	$267.52	$510.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $2,360.35 / $4,227.49	Facility		$1,487.00	$2,360.35	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.93 / $289.68 / $631.44	Professional		$169.93	$289.68	$631.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $205.38 / $533.79	Professional		$107.97	$205.38	$533.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.97 / $327.31 / $610.80	Professional		$178.97	$327.31	$610.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,176.59 / $1,200.90 / $12,000.00	Facility		$1,176.59	$1,200.90	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.96 / $2,220.64 / $2,638.50	Professional		$1,232.96	$2,220.64	$2,638.50
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 $140.25 / $259.13 / $480.66	Facility		$140.25	$259.13	$480.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $313.95 / $695.60	Professional		$170.52	$313.95	$695.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $548.14 / $548.14 / $1,024.19	Professional		$548.14	$548.14	$1,024.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $186.57 / $439.41	Professional		$120.92	$186.57	$439.41
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 $222.00 / $289.74 / $660.65	Professional		$222.00	$289.74	$660.65