Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $21,960.90	Facility		$873.00	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $172.70 / $732.39	Professional		$161.18	$172.70	$732.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.48 / $5,913.00 / $12,527.00	Facility		$2,399.48	$5,913.00	$12,527.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.30 / $333.30 / $572.04	Professional		$254.30	$333.30	$572.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $228.77 / $500.91	Professional		$159.87	$228.77	$500.91
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 $188.05 / $239.35 / $505.84	Professional		$188.05	$239.35	$505.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $197.35 / $217.09 / $303.24	Professional		$197.35	$217.09	$303.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.39 / $235.04 / $425.89	Professional		$170.39	$235.04	$425.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $455.60 / $1,300.00 / $5,000.00	Facility		$455.60	$1,300.00	$5,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,853.67 / $3,853.67 / $3,853.67	Professional		$3,853.67	$3,853.67	$3,853.67
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 $196.02 / $239.84 / $382.09	Facility		$196.02	$239.84	$382.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.05 / $244.99 / $499.76	Professional		$188.05	$244.99	$499.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $599.91 / $599.91 / $599.91	Professional		$599.91	$599.91	$599.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $218.43 / $382.41	Professional		$178.71	$218.43	$382.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $200.18 / $426.19	Professional		$149.69	$200.18	$426.19