Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.73 / $5,829.00 / $17,809.00	Facility		$305.73	$5,829.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.06 / $233.64 / $544.79	Professional		$143.06	$233.64	$544.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.28 / $256.88 / $556.85	Professional		$158.28	$256.88	$556.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,955.52	Facility		$67.90	$100.00	$6,955.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $157.65 / $225.22 / $501.03	Professional		$157.65	$225.22	$501.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,761.60 / $4,704.56	Facility		$455.00	$1,761.60	$4,704.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.07 / $286.45 / $598.58	Professional		$167.07	$286.45	$598.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $223.10 / $535.29	Professional		$81.16	$223.10	$535.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.16 / $319.36 / $558.88	Professional		$170.16	$319.36	$558.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,135.56 / $1,161.59 / $16,394.00	Facility		$1,135.56	$1,161.59	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,259.00 / $2,202.16 / $2,589.30	Professional		$1,259.00	$2,202.16	$2,589.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $308.25	Professional		$32.34	$32.34	$308.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.72 / $256.83 / $488.79	Facility		$161.72	$256.83	$488.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.32 / $317.61 / $723.00	Professional		$173.32	$317.61	$723.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $514.29 / $514.29 / $944.67	Professional		$514.29	$514.29	$944.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $184.23 / $440.81	Professional		$102.35	$184.23	$440.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,964.00 / $9,131.00	Facility		$1,540.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.37 / $289.69 / $721.50	Professional		$209.37	$289.69	$721.50