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 $136.72 / $218.11 / $941.12	Professional		$136.72	$218.11	$941.12
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 $155.91 / $223.16 / $449.99	Professional		$155.91	$223.16	$449.99
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 $158.88 / $231.78 / $448.12	Professional		$158.88	$231.78	$448.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $279.91 / $501.33	Facility		$56.00	$279.91	$501.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $260.25 / $491.22	Professional		$167.33	$260.25	$491.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $188.11 / $253.95 / $389.87	Professional		$188.11	$253.95	$389.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.91 / $282.47 / $502.00	Professional		$163.91	$282.47	$502.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $742.36 / $811.63	Facility		$55.00	$742.36	$811.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.04 / $1,864.00 / $2,217.90	Professional		$1,153.04	$1,864.00	$2,217.90
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 $165.21 / $247.16 / $403.59	Facility		$165.21	$247.16	$403.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.55 / $277.55 / $565.65	Professional		$169.55	$277.55	$565.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $511.61 / $511.61 / $800.13	Professional		$511.61	$511.61	$800.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $170.82 / $295.31 / $445.64	Professional		$170.82	$295.31	$445.64
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 $187.11 / $240.72 / $555.98	Professional		$187.11	$240.72	$555.98