Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $4,969.00 / $17,380.00	Facility		$546.00	$4,969.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $387.10 / $879.49	Professional		$60.31	$387.10	$879.49
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 $64.43 / $180.24 / $1,072.80	Professional		$64.43	$180.24	$1,072.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,349.65	Facility		$65.90	$100.00	$5,349.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $274.07 / $1,220.45	Professional		$69.84	$274.07	$1,220.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $826.77 / $2,151.00	Facility		$633.00	$826.77	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $446.55 / $1,411.35	Professional		$72.05	$446.55	$1,411.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $74.81 / $989.22	Professional		$39.46	$74.81	$989.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $592.24 / $1,126.42	Professional		$66.33	$592.24	$1,126.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,115.38 / $1,115.38	Facility		$55.00	$1,115.38	$1,115.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,306.65 / $4,529.80 / $5,173.13	Professional		$2,306.65	$4,529.80	$5,173.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $518.23	Professional		$32.34	$32.34	$518.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.53 / $186.70 / $1,000.19	Facility		$65.53	$186.70	$1,000.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $472.12 / $1,664.55	Professional		$74.65	$472.12	$1,664.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $213.70 / $213.70 / $2,269.38	Professional		$213.70	$213.70	$2,269.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $67.94 / $916.84	Professional		$39.46	$67.94	$916.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,089.45 / $3,952.00 / $9,131.00	Facility		$1,089.45	$3,952.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.68 / $674.24 / $1,706.83	Professional		$469.68	$674.24	$1,706.83