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 $126.81 / $193.62 / $1,208.70	Professional		$126.81	$193.62	$1,208.70
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 $147.76 / $213.78 / $421.00	Professional		$147.76	$213.78	$421.00
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 $131.27 / $182.01 / $423.11	Professional		$131.27	$182.01	$423.11
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 $162.27 / $241.62 / $505.15	Professional		$162.27	$241.62	$505.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $256.98 / $346.92	Professional		$118.39	$256.98	$346.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.71 / $305.38 / $515.13	Professional		$214.71	$305.38	$515.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $949.15 / $1,079.72	Facility		$55.00	$949.15	$1,079.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.48 / $1,775.63 / $2,115.08	Professional		$1,488.48	$1,775.63	$2,115.08
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 $194.02 / $276.80 / $393.99	Facility		$194.02	$276.80	$393.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $264.52 / $554.67	Professional		$164.59	$264.52	$554.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $635.30 / $635.30 / $761.54	Professional		$635.30	$635.30	$761.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $223.95 / $346.71	Professional		$132.60	$223.95	$346.71
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 $154.12 / $214.33 / $583.10	Professional		$154.12	$214.33	$583.10