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 $154.11 / $240.43 / $848.19	Professional		$154.11	$240.43	$848.19
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 $185.81 / $237.99 / $478.85	Professional		$185.81	$237.99	$478.85
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 $160.51 / $229.30 / $446.98	Professional		$160.51	$229.30	$446.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.17 / $320.73 / $1,487.00	Facility		$320.17	$320.73	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.80 / $278.79 / $526.54	Professional		$171.80	$278.79	$526.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $133.28 / $210.83 / $377.05	Professional		$133.28	$210.83	$377.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $274.08 / $484.47	Professional		$166.13	$274.08	$484.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $763.48 / $825.17	Facility		$55.00	$763.48	$825.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.35 / $1,818.40 / $2,131.80	Professional		$1,181.35	$1,818.40	$2,131.80
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 $175.00 / $265.26 / $406.83	Facility		$175.00	$265.26	$406.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $296.74 / $607.85	Professional		$176.44	$296.74	$607.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $526.29 / $526.29 / $841.26	Professional		$526.29	$526.29	$841.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.08 / $218.51 / $349.16	Professional		$168.08	$218.51	$349.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,399.00	Facility		$1,371.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $254.66 / $584.69	Professional		$194.40	$254.66	$584.69