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 $118.50 / $165.03 / $712.70	Professional		$118.50	$165.03	$712.70
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 $136.27 / $185.94 / $379.49	Professional		$136.27	$185.94	$379.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $177.59 / $370.90	Professional		$124.31	$177.59	$370.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.29 / $200.60 / $388.21	Professional		$141.29	$200.60	$388.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $171.60 / $286.81	Professional		$84.51	$171.60	$286.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.05 / $198.38 / $330.63	Professional		$135.05	$198.38	$330.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $622.12 / $671.79 / $12,000.00	Facility		$622.12	$671.79	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $970.16 / $1,263.59 / $1,456.35	Professional		$970.16	$1,263.59	$1,456.35
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 $154.82 / $198.00 / $298.13	Facility		$154.82	$198.00	$298.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.71 / $211.79 / $432.31	Professional		$144.71	$211.79	$432.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $435.41 / $435.41 / $583.27	Professional		$435.41	$435.41	$583.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $159.86 / $236.09	Professional		$118.32	$159.86	$236.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.08 / $181.46 / $417.70	Professional		$136.08	$181.46	$417.70