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 $231.23 / $271.29 / $1,373.48	Professional		$231.23	$271.29	$1,373.48
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 $262.76 / $340.98 / $713.98	Professional		$262.76	$340.98	$713.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $212.99 / $304.27 / $682.79	Professional		$212.99	$304.27	$682.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $280.14 / $501.75	Facility		$56.00	$280.14	$501.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.77 / $350.14 / $728.67	Professional		$265.77	$350.14	$728.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $145.57 / $282.86 / $384.05	Professional		$145.57	$282.86	$384.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.76 / $329.97 / $558.40	Professional		$240.76	$329.97	$558.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,103.92 / $1,205.65	Facility		$55.00	$1,103.92	$1,205.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.72 / $1,970.27 / $2,184.98	Professional		$1,728.72	$1,970.27	$2,184.98
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 $266.70 / $337.26 / $464.06	Facility		$266.70	$337.26	$464.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $367.35 / $728.67	Professional		$266.70	$367.35	$728.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $852.22 / $852.22 / $956.81	Professional		$852.22	$852.22	$956.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $203.80 / $258.70 / $355.72	Professional		$203.80	$258.70	$355.72
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 $224.10 / $297.72 / $655.09	Professional		$224.10	$297.72	$655.09