Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,382.00 / $17,013.00	Facility		$1,017.00	$5,382.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $135.15 / $547.74	Professional		$115.34	$135.15	$547.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.71 / $201.79 / $376.15	Professional		$147.71	$201.79	$376.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $159.41 / $377.67	Professional		$104.36	$159.41	$377.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $170.99 / $356.24	Professional		$127.47	$170.99	$356.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $140.74 / $190.00	Professional		$84.51	$140.74	$190.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.87 / $149.02 / $261.04	Professional		$115.87	$149.02	$261.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $1,300.00	Facility		$55.00	$1,300.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.40	Professional		$32.34	$32.34	$185.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.27 / $168.82 / $259.48	Facility		$126.27	$168.82	$259.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.62 / $189.90 / $355.34	Professional		$130.62	$189.90	$355.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $437.36 / $437.36 / $437.36	Professional		$437.36	$437.36	$437.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $138.55 / $159.86	Professional		$109.87	$138.55	$159.86
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $156.63 / $359.83	Professional		$108.50	$156.63	$359.83