Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,812.00 / $17,902.00	Facility		$1,208.95	$5,812.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.18 / $263.30 / $1,400.53	Professional		$200.18	$263.30	$1,400.53
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 $196.93 / $281.70 / $605.66	Professional		$196.93	$281.70	$605.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,305.65	Facility		$67.90	$100.00	$5,305.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.46 / $215.87 / $520.58	Professional		$147.46	$215.87	$520.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,766.05 / $4,716.43	Facility		$629.00	$1,766.05	$4,716.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $324.58 / $785.10	Professional		$212.98	$324.58	$785.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $330.56 / $446.26	Professional		$93.82	$330.56	$446.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.13 / $350.84 / $643.21	Professional		$267.13	$350.84	$643.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,920.96 / $7,929.30	Facility		$55.00	$6,920.96	$7,929.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.84 / $1,992.40 / $2,375.17	Professional		$1,965.84	$1,992.40	$2,375.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $388.54	Professional		$32.34	$32.34	$388.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $330.59 / $489.74	Facility		$190.00	$330.59	$489.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $352.43 / $736.77	Professional		$215.46	$352.43	$736.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $868.99 / $868.99 / $868.99	Professional		$868.99	$868.99	$868.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $168.88 / $366.94	Professional		$93.82	$168.88	$366.94
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 $191.53 / $275.69 / $779.01	Professional		$191.53	$275.69	$779.01