Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.33 / $5,324.00 / $16,713.00	Facility		$275.33	$5,324.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.72 / $248.82 / $1,053.86	Professional		$153.72	$248.82	$1,053.86
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 $175.67 / $252.44 / $503.77	Professional		$175.67	$252.44	$503.77
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 $177.06 / $252.94 / $494.00	Professional		$177.06	$252.94	$494.00
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 $186.28 / $287.45 / $533.20	Professional		$186.28	$287.45	$533.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $205.14 / $251.86 / $428.65	Professional		$205.14	$251.86	$428.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.57 / $311.58 / $561.41	Professional		$183.57	$311.58	$561.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $830.64 / $907.68	Facility		$55.00	$830.64	$907.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.68 / $2,057.60 / $2,451.08	Professional		$1,291.68	$2,057.60	$2,451.08
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 $195.64 / $278.37 / $445.44	Facility		$195.64	$278.37	$445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $304.02 / $589.90	Professional		$188.66	$304.02	$589.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $574.15 / $574.15 / $885.50	Professional		$574.15	$574.15	$885.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.58 / $288.60 / $396.83	Professional		$190.58	$288.60	$396.83
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 $207.36 / $276.48 / $658.27	Professional		$207.36	$276.48	$658.27