Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.72 / $5,570.00 / $17,328.00	Facility		$270.72	$5,570.00	$17,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $228.22 / $863.53	Professional		$153.03	$228.22	$863.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,417.00 / $9,244.00	Facility		$1,000.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $244.92 / $518.04	Professional		$157.94	$244.92	$518.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,863.19	Facility		$67.90	$100.00	$6,863.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $226.56 / $499.23	Professional		$158.59	$226.56	$499.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.66 / $508.57 / $2,151.00	Facility		$182.66	$508.57	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.73 / $265.98 / $580.10	Professional		$173.73	$265.98	$580.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $196.77 / $346.84	Professional		$81.53	$196.77	$346.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.76 / $254.64 / $452.57	Professional		$169.76	$254.64	$452.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,143.96 / $1,173.72	Facility		$55.00	$1,143.96	$1,173.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.44 / $1,688.96 / $1,968.90	Professional		$1,209.44	$1,688.96	$1,968.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $198.07	Professional		$32.34	$32.34	$198.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.33 / $240.38 / $381.02	Facility		$166.33	$240.38	$381.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.07 / $293.74 / $588.57	Professional		$181.07	$293.74	$588.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $535.79 / $535.79 / $769.02	Professional		$535.79	$535.79	$769.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $158.94 / $321.17	Professional		$81.53	$158.94	$321.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,531.00 / $3,952.00 / $12,100.00	Facility		$1,531.00	$3,952.00	$12,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.39 / $248.32 / $600.19	Professional		$182.39	$248.32	$600.19