Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $6,640.00 / $17,701.00	Facility		$1,169.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $190.43 / $887.74	Professional		$166.40	$190.43	$887.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.28 / $259.05 / $543.03	Professional		$195.28	$259.05	$543.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,833.76	Facility		$66.00	$100.00	$7,833.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $174.14 / $248.77 / $530.76	Professional		$174.14	$248.77	$530.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $248.68 / $517.34	Professional		$192.14	$248.68	$517.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $196.57 / $227.98 / $371.85	Professional		$196.57	$227.98	$371.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $232.06 / $420.65	Professional		$168.68	$232.06	$420.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $727.32 / $8,957.00 / $26,542.00	Facility		$727.32	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,851.03 / $3,532.88 / $3,649.47	Professional		$1,851.03	$3,532.88	$3,649.47
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 $185.04 / $248.24 / $444.16	Facility		$185.04	$248.24	$444.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $256.49 / $499.70	Professional		$192.14	$256.49	$499.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $550.80 / $550.80 / $550.80	Professional		$550.80	$550.80	$550.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $183.67 / $230.30 / $371.84	Professional		$183.67	$230.30	$371.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $195.51 / $374.98	Professional		$134.12	$195.51	$374.98