Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.15 / $6,516.00 / $18,681.00	Facility		$238.15	$6,516.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $200.70 / $866.87	Professional		$147.22	$200.70	$866.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $7,007.00 / $15,529.00	Facility		$1,450.00	$7,007.00	$15,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $228.33 / $490.77	Professional		$152.47	$228.33	$490.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,182.43	Facility		$67.90	$100.00	$7,182.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $135.29 / $202.76 / $452.46	Professional		$135.29	$202.76	$452.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $3,461.93 / $9,842.49	Facility		$520.00	$3,461.93	$9,842.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $246.22 / $506.85	Professional		$160.05	$246.22	$506.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $212.69 / $366.02	Professional		$112.43	$212.69	$366.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.81 / $247.15 / $444.03	Professional		$166.81	$247.15	$444.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.02 / $1,120.02 / $2,000.00	Facility		$1,120.02	$1,120.02	$2,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.28 / $1,624.32 / $1,883.03	Professional		$1,185.28	$1,624.32	$1,883.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $312.13	Professional		$32.34	$32.34	$312.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $241.09 / $369.85	Facility		$164.60	$241.09	$369.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.86 / $276.57 / $549.09	Professional		$163.86	$276.57	$549.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $537.86 / $537.86 / $762.66	Professional		$537.86	$537.86	$762.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $184.33 / $312.95	Professional		$112.43	$184.33	$312.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $4,030.00 / $9,131.00	Facility		$1,540.00	$4,030.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.21 / $234.36 / $579.67	Professional		$169.21	$234.36	$579.67