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 $164.12 / $193.32 / $986.34	Professional		$164.12	$193.32	$986.34
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 $170.20 / $227.25 / $457.28	Professional		$170.20	$227.25	$457.28
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 $152.40 / $217.72 / $491.86	Professional		$152.40	$217.72	$491.86
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 $191.83 / $260.49 / $533.86	Professional		$191.83	$260.49	$533.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.05 / $237.92 / $321.19	Professional		$131.05	$237.92	$321.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.55 / $280.14 / $477.94	Professional		$199.55	$280.14	$477.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $884.05 / $1,003.30	Facility		$55.00	$884.05	$1,003.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.72 / $1,634.55 / $1,920.23	Professional		$1,238.72	$1,634.55	$1,920.23
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 $196.65 / $269.73 / $369.28	Facility		$196.65	$269.73	$369.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.88 / $273.82 / $537.23	Professional		$192.88	$273.82	$537.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $612.00 / $719.00	Professional		$612.00	$612.00	$719.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.78 / $222.78 / $315.92	Professional		$146.78	$222.78	$315.92
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 $167.13 / $219.83 / $497.55	Professional		$167.13	$219.83	$497.55