Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.67 / $5,823.00 / $17,809.00	Facility		$297.67	$5,823.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $249.72 / $651.55	Professional		$143.84	$249.72	$651.55
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 $156.66 / $261.42 / $584.12	Professional		$156.66	$261.42	$584.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,651.83	Facility		$67.90	$100.00	$6,651.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $155.31 / $257.26 / $540.52	Professional		$155.31	$257.26	$540.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $900.00 / $2,226.34	Facility		$455.00	$900.00	$2,226.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.24 / $293.02 / $615.95	Professional		$165.24	$293.02	$615.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $217.04 / $542.11	Professional		$126.58	$217.04	$542.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $329.87 / $577.27	Professional		$172.54	$329.87	$577.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.58 / $1,159.92 / $16,394.00	Facility		$1,154.58	$1,159.92	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.78 / $2,266.40 / $2,718.23	Professional		$1,220.78	$2,266.40	$2,718.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $438.53	Professional		$32.34	$32.34	$438.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.12 / $267.30 / $493.06	Facility		$163.12	$267.30	$493.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.52 / $325.83 / $748.35	Professional		$167.52	$325.83	$748.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $529.23 / $529.23 / $972.83	Professional		$529.23	$529.23	$972.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $218.92 / $446.14	Professional		$159.22	$218.92	$446.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,761.00 / $3,965.00 / $12,135.00	Facility		$1,761.00	$3,965.00	$12,135.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.15 / $301.68 / $746.27	Professional		$220.15	$301.68	$746.27