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 $160.13 / $187.35 / $936.84	Professional		$160.13	$187.35	$936.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $224.07 / $450.85	Professional		$177.75	$224.07	$450.85
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 $144.29 / $206.13 / $466.05	Professional		$144.29	$206.13	$466.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $237.59 / $425.53	Facility		$56.00	$237.59	$425.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $240.61 / $492.55	Professional		$184.00	$240.61	$492.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $223.04 / $301.10	Professional		$110.20	$223.04	$301.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.11 / $255.10 / $444.99	Professional		$187.11	$255.10	$444.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $829.58 / $941.78	Facility		$55.00	$829.58	$941.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.60 / $1,511.12 / $1,688.03	Professional		$1,333.60	$1,511.12	$1,688.03
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 $190.64 / $252.01 / $356.86	Facility		$190.64	$252.01	$356.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.41 / $254.75 / $499.45	Professional		$186.41	$254.75	$499.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $581.29 / $581.29 / $648.61	Professional		$581.29	$581.29	$648.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $202.84 / $279.07	Professional		$123.42	$202.84	$279.07
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $201.72 / $446.54	Professional		$152.38	$201.72	$446.54