Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.25 / $4,848.00 / $16,573.00	Facility		$358.25	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $290.67 / $1,237.24	Professional		$139.31	$290.67	$1,237.24
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 $151.76 / $204.23 / $554.46	Professional		$151.76	$204.23	$554.46
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 $159.41 / $311.70 / $602.42	Professional		$159.41	$311.70	$602.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,681.08	Facility		$938.60	$940.26	$1,681.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $330.78 / $667.46	Professional		$162.24	$330.78	$667.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $202.69 / $549.27	Professional		$123.60	$202.69	$549.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $333.34 / $638.07	Professional		$164.46	$333.34	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $917.20 / $936.55 / $12,000.00	Facility		$917.20	$936.55	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.49 / $2,328.56 / $2,704.20	Professional		$1,215.49	$2,328.56	$2,704.20
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 $160.88 / $311.49 / $524.14	Facility		$160.88	$311.49	$524.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.95 / $349.52 / $695.75	Professional		$164.95	$349.52	$695.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $546.97 / $546.97 / $1,174.50	Professional		$546.97	$546.97	$1,174.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $204.64 / $452.28	Professional		$155.87	$204.64	$452.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,679.00 / $7,399.00	Facility		$1,120.00	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.01 / $357.52 / $779.70	Professional		$263.01	$357.52	$779.70