Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,812.00 / $17,902.00	Facility		$1,174.00	$5,812.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $208.83 / $1,100.08	Professional		$171.52	$208.83	$1,100.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $240.17 / $498.70	Professional		$148.75	$240.17	$498.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,021.77	Facility		$67.90	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $193.29 / $464.63	Professional		$132.94	$193.29	$464.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $730.77 / $1,651.36	Facility		$339.00	$730.77	$1,651.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.64 / $263.60 / $603.79	Professional		$183.64	$263.60	$603.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $69.30 / $325.36	Professional		$45.79	$69.30	$325.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.51 / $263.18 / $489.86	Professional		$200.51	$263.18	$489.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.58 / $2,776.25 / $12,000.00	Facility		$1,196.58	$2,776.25	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,518.08 / $1,549.92 / $1,847.25	Professional		$1,518.08	$1,549.92	$1,847.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $216.61	Professional		$32.34	$32.34	$216.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.83 / $259.39 / $384.79	Facility		$161.83	$259.39	$384.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.79 / $284.01 / $571.45	Professional		$188.79	$284.01	$571.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $682.57 / $682.57 / $682.57	Professional		$682.57	$682.57	$682.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $68.69 / $267.27	Professional		$36.63	$68.69	$267.27
United Facility/Professional Facility Modifier Low / Median / High Price $447.00 / $2,527.00 / $7,399.00	Facility		$447.00	$2,527.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $227.37 / $664.84	Professional		$160.97	$227.37	$664.84