Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $5,322.00 / $17,013.00	Facility		$873.00	$5,322.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $142.05 / $492.74	Professional		$109.24	$142.05	$492.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $6,679.00 / $13,707.00	Facility		$2,629.00	$6,679.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $214.35 / $376.94	Professional		$146.63	$214.35	$376.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,367.09	Facility		$65.80	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $148.88 / $334.78	Professional		$100.30	$148.88	$334.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $495.00 / $1,404.00	Facility		$142.06	$495.00	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.31 / $163.31 / $326.49	Professional		$123.31	$163.31	$326.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $125.37 / $175.21	Professional		$115.79	$125.37	$175.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.95 / $141.72 / $275.48	Professional		$108.95	$141.72	$275.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,305.83 / $1,344.10	Facility		$55.00	$1,305.83	$1,344.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.59 / $1,743.04 / $1,743.04	Professional		$1,705.59	$1,743.04	$1,743.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $124.40	Professional		$32.34	$32.34	$124.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.69 / $154.72 / $280.62	Facility		$118.69	$154.72	$280.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.62 / $182.15 / $331.55	Professional		$125.62	$182.15	$331.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $399.09 / $399.09 / $399.09	Professional		$399.09	$399.09	$399.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $138.80 / $219.02	Professional		$100.94	$138.80	$219.02
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,493.00 / $5,691.00	Facility		$570.00	$1,493.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $138.75 / $269.73	Professional		$102.20	$138.75	$269.73