Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,812.00 / $17,902.00	Facility		$934.95	$5,812.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $198.63 / $713.49	Professional		$130.37	$198.63	$713.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $361.89 / $587.27	Professional		$202.27	$361.89	$587.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,970.60	Facility		$67.90	$100.00	$4,970.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.48 / $163.90 / $372.64	Professional		$112.48	$163.90	$372.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $1,091.68 / $2,915.45	Facility		$339.00	$1,091.68	$2,915.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.82 / $230.33 / $482.04	Professional		$147.82	$230.33	$482.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $279.23 / $528.20	Professional		$150.75	$279.23	$528.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.62 / $167.09 / $306.33	Professional		$125.62	$167.09	$306.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $739.20 / $4,901.45 / $12,000.00	Facility		$739.20	$4,901.45	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,865.75 / $1,865.75 / $1,865.75	Professional		$1,865.75	$1,865.75	$1,865.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $191.97	Professional		$32.34	$32.34	$191.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $203.78 / $416.82	Facility		$139.44	$203.78	$416.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.75 / $242.76 / $393.16	Professional		$154.75	$242.76	$393.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $442.70 / $442.70 / $442.70	Professional		$442.70	$442.70	$442.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $279.23 / $502.61	Professional		$136.21	$279.23	$502.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,964.00 / $9,131.00	Facility		$1,433.90	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $185.35 / $374.53	Professional		$111.53	$185.35	$374.53