Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $234.01 / $988.52	Professional		$136.27	$234.01	$988.52
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 $146.69 / $197.42 / $494.64	Professional		$146.69	$197.42	$494.64
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 $151.69 / $271.41 / $524.02	Professional		$151.69	$271.41	$524.02
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 $155.35 / $273.26 / $534.97	Professional		$155.35	$273.26	$534.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $197.31 / $393.35	Professional		$107.22	$197.31	$393.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.74 / $256.04 / $470.59	Professional		$157.74	$256.04	$470.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $895.75 / $910.90 / $12,000.00	Facility		$895.75	$910.90	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.80 / $1,751.00 / $1,984.20	Professional		$1,146.80	$1,751.00	$1,984.20
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 $162.04 / $265.58 / $422.49	Facility		$162.04	$265.58	$422.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $295.51 / $569.74	Professional		$158.34	$295.51	$569.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $522.79 / $522.79 / $793.28	Professional		$522.79	$522.79	$793.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.90 / $199.24 / $323.83	Professional		$144.90	$199.24	$323.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,699.00 / $7,655.00	Facility		$1,207.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.87 / $276.00 / $552.04	Professional		$187.87	$276.00	$552.04