Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $6,423.00 / $18,483.00	Facility		$1,080.00	$6,423.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $160.44 / $806.76	Professional		$139.79	$160.44	$806.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $232.83 / $471.87	Professional		$168.41	$232.83	$471.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $552.98 / $5,170.71	Facility		$67.90	$552.98	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $179.22 / $413.41	Professional		$122.20	$179.22	$413.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,418.59 / $3,949.73	Facility		$633.00	$1,418.59	$3,949.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $210.99 / $474.43	Professional		$158.44	$210.99	$474.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $166.84 / $183.52 / $1,574.40	Professional		$166.84	$183.52	$1,574.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $183.99 / $342.36	Professional		$141.13	$183.99	$342.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,559.30 / $6,482.70	Facility		$55.00	$5,559.30	$6,482.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.11 / $1,123.35 / $1,256.03	Professional		$1,101.11	$1,123.35	$1,256.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.26 / $186.74 / $302.51	Facility		$150.26	$186.74	$302.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $226.15 / $418.92	Professional		$162.08	$226.15	$418.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $500.57 / $500.57 / $500.57	Professional		$500.57	$500.57	$500.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $185.20 / $185.20	Professional		$134.69	$185.20	$185.20
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 $124.32 / $177.23 / $422.27	Professional		$124.32	$177.23	$422.27