Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.00 / $5,068.00 / $17,380.00	Facility		$885.00	$5,068.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $732.46 / $2,588.44	Professional		$130.29	$732.46	$2,588.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,357.00 / $10,576.00	Facility		$1,196.00	$5,357.00	$10,576.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.80 / $432.41 / $1,768.34	Professional		$167.80	$432.41	$1,768.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,230.50	Facility		$67.90	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $540.99 / $1,833.78	Professional		$140.69	$540.99	$1,833.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $751.55 / $1,698.33	Facility		$495.00	$751.55	$1,698.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $456.47 / $1,834.71	Professional		$148.63	$456.47	$1,834.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $828.00 / $1,167.34	Professional		$143.84	$828.00	$1,167.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $693.66 / $1,348.78	Professional		$132.22	$693.66	$1,348.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,221.34 / $1,221.34	Facility		$55.00	$1,221.34	$1,221.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,737.22 / $5,504.86 / $6,204.53	Professional		$2,737.22	$5,504.86	$6,204.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $618.58	Professional		$32.34	$32.34	$618.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.34 / $690.62 / $1,374.80	Facility		$140.34	$690.62	$1,374.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $531.80 / $1,943.42	Professional		$153.62	$531.80	$1,943.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $454.47 / $454.47 / $2,963.36	Professional		$454.47	$454.47	$2,963.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $828.00 / $1,159.19	Professional		$130.63	$828.00	$1,159.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $3,965.00 / $12,135.00	Facility		$1,720.00	$3,965.00	$12,135.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.92 / $991.26 / $2,286.23	Professional		$696.92	$991.26	$2,286.23