Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $4,932.00 / $16,125.00	Facility		$411.00	$4,932.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $190.21 / $552.33	Professional		$83.45	$190.21	$552.33
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 $79.62 / $120.86 / $342.92	Professional		$79.62	$120.86	$342.92
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 $95.03 / $193.26 / $373.25	Professional		$95.03	$193.26	$373.25
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 $94.98 / $202.72 / $424.35	Professional		$94.98	$202.72	$424.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $168.43 / $384.90	Professional		$108.40	$168.43	$384.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $229.73 / $432.24	Professional		$97.88	$229.73	$432.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $648.96 / $663.60 / $12,000.00	Facility		$648.96	$663.60	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,489.00 / $2,489.00 / $2,489.00	Professional		$2,489.00	$2,489.00	$2,489.00
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 $97.15 / $196.25 / $354.64	Facility		$97.15	$196.25	$354.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $220.56 / $475.75	Professional		$96.14	$220.56	$475.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $304.62 / $304.62 / $720.56	Professional		$304.62	$304.62	$720.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.51 / $230.10 / $316.98	Professional		$98.51	$230.10	$316.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,679.00 / $7,399.00	Facility		$1,371.00	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.15 / $214.20 / $497.24	Professional		$164.15	$214.20	$497.24