Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.06 / $4,095.75 / $15,234.00	Facility		$477.06	$4,095.75	$15,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $159.59 / $455.01	Professional		$101.45	$159.59	$455.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $158.10 / $319.36	Professional		$110.73	$158.10	$319.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $189.66 / $359.34	Professional		$119.39	$189.66	$359.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.06 / $731.35 / $1,487.00	Facility		$730.06	$731.35	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $187.24 / $337.89	Professional		$116.14	$187.24	$337.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $138.56 / $271.05	Professional		$75.95	$138.56	$271.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $179.89 / $323.80	Professional		$112.99	$179.89	$323.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $513.16 / $555.41 / $12,000.00	Facility		$513.16	$555.41	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $927.00 / $1,240.00 / $1,392.30	Professional		$927.00	$1,240.00	$1,392.30
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 $122.86 / $177.85 / $269.41	Facility		$122.86	$177.85	$269.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $201.57 / $373.06	Professional		$116.93	$201.57	$373.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $370.56 / $370.56 / $567.71	Professional		$370.56	$370.56	$567.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.73 / $139.88 / $223.10	Professional		$101.73	$139.88	$223.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,699.00 / $7,655.00	Facility		$1,120.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $178.67 / $387.15	Professional		$133.13	$178.67	$387.15