Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,665.00 / $21,960.90	Facility		$873.00	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.19 / $203.49 / $1,022.00	Professional		$173.19	$203.49	$1,022.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,860.00 / $11,393.00 / $21,510.00	Facility		$2,860.00	$11,393.00	$21,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.16 / $334.30 / $586.19	Professional		$267.16	$334.30	$586.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $16,022.33	Facility		$64.40	$100.00	$16,022.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $239.54 / $524.50	Professional		$166.63	$239.54	$524.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $252.90 / $543.54	Professional		$199.07	$252.90	$543.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $224.78 / $293.19	Professional		$195.46	$224.78	$293.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $250.07 / $451.57	Professional		$181.88	$250.07	$451.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,710.68 / $4,044.74 / $5,000.00	Facility		$2,710.68	$4,044.74	$5,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,485.49 / $3,485.49 / $3,485.49	Professional		$3,485.49	$3,485.49	$3,485.49
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 $208.64 / $251.78 / $398.79	Facility		$208.64	$251.78	$398.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $260.80 / $537.35	Professional		$200.37	$260.80	$537.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $634.12 / $634.12 / $634.12	Professional		$634.12	$634.12	$634.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $228.95 / $369.73	Professional		$187.33	$228.95	$369.73
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,810.00 / $14,315.00	Facility		$587.00	$1,810.00	$14,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.78 / $214.92 / $434.12	Professional		$165.78	$214.92	$434.12