Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $6,423.00 / $19,011.00	Facility		$1,038.00	$6,423.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $131.97 / $667.92	Professional		$113.33	$131.97	$667.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,978.00 / $13,707.00	Facility		$2,143.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $180.81 / $360.39	Professional		$137.96	$180.81	$360.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $4,679.53 / $21,653.45	Facility		$96.60	$4,679.53	$21,653.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $152.88 / $342.23	Professional		$103.64	$152.88	$342.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,557.69 / $13,577.00	Facility		$611.00	$1,557.69	$13,577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $173.53 / $387.34	Professional		$130.81	$173.53	$387.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $133.85 / $174.01	Professional		$107.97	$133.85	$174.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $152.97 / $282.89	Professional		$115.73	$152.97	$282.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $415.22 / $610.79	Facility		$55.00	$415.22	$610.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $907.20 / $926.16 / $1,114.58	Professional		$907.20	$926.16	$1,114.58
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 $121.06 / $154.31 / $241.86	Facility		$121.06	$154.31	$241.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.02 / $184.46 / $354.46	Professional		$133.02	$184.46	$354.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $414.42 / $414.42 / $414.42	Professional		$414.42	$414.42	$414.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $148.22 / $161.94	Professional		$107.97	$148.22	$161.94
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,458.00 / $5,830.00	Facility		$379.00	$1,458.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $150.61 / $311.06	Professional		$106.68	$150.61	$311.06