Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $16,713.00	Facility		$462.00	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $274.26 / $1,022.56	Professional		$209.25	$274.26	$1,022.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,694.00 / $11,233.00	Facility		$2,137.00	$5,694.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $355.25 / $697.56	Professional		$277.20	$355.25	$697.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $228.69 / $326.70 / $676.00	Professional		$228.69	$326.70	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $253.20 / $453.49	Facility		$56.00	$253.20	$453.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.36 / $346.44 / $663.16	Professional		$245.36	$346.44	$663.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $149.77 / $260.89 / $445.26	Professional		$149.77	$260.89	$445.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.01 / $344.71 / $647.32	Professional		$240.01	$344.71	$647.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,105.08 / $1,169.55	Facility		$55.00	$1,105.08	$1,169.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,602.00 / $3,297.25 / $3,929.37	Professional		$2,602.00	$3,297.25	$3,929.37
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 $277.97 / $379.79 / $567.15	Facility		$277.97	$379.79	$567.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.95 / $362.50 / $737.86	Professional		$251.95	$362.50	$737.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $759.69 / $759.69 / $984.49	Professional		$759.69	$759.69	$984.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $239.48 / $411.75	Professional		$167.74	$239.48	$411.75
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.17 / $315.73 / $667.56	Professional		$240.17	$315.73	$667.56