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 $238.18 / $366.14 / $1,034.53	Professional		$238.18	$366.14	$1,034.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.98 / $365.41 / $725.14	Professional		$263.98	$365.41	$725.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $259.10 / $392.69 / $749.53	Professional		$259.10	$392.69	$749.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.46 / $456.26 / $2,277.00	Facility		$455.46	$456.26	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $428.21 / $816.28	Professional		$272.66	$428.21	$816.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.67 / $325.16 / $565.66	Professional		$165.67	$325.16	$565.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.85 / $415.74 / $718.87	Professional		$258.85	$415.74	$718.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $1,290.48 / $11,500.00	Facility		$1,196.00	$1,290.48	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,872.80 / $2,762.72 / $3,161.48	Professional		$1,872.80	$2,762.72	$3,161.48
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 $268.41 / $400.75 / $595.54	Facility		$268.41	$400.75	$595.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.26 / $460.77 / $931.14	Professional		$277.26	$460.77	$931.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $834.67 / $834.67 / $1,315.53	Professional		$834.67	$834.67	$1,315.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $231.94 / $313.39 / $524.01	Professional		$231.94	$313.39	$524.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,106.00 / $14,636.00	Facility		$3,698.00	$7,106.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.75 / $393.75 / $873.14	Professional		$303.75	$393.75	$873.14