Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,848.00 / $16,125.00	Facility		$365.00	$4,848.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.31 / $265.29 / $877.77	Professional		$134.31	$265.29	$877.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,720.00 / $10,404.00	Facility		$1,787.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.15 / $254.84 / $507.29	Professional		$170.15	$254.84	$507.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,707.29	Facility		$66.00	$100.00	$5,707.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.84 / $303.25 / $567.29	Professional		$169.84	$303.25	$567.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,818.37 / $6,838.87	Facility		$1,487.00	$3,818.37	$6,838.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $282.83 / $613.96	Professional		$160.50	$282.83	$613.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $187.04 / $402.07	Professional		$123.60	$187.04	$402.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $259.04 / $453.32	Professional		$148.91	$259.04	$453.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $990.30 / $1,013.82 / $12,000.00	Facility		$990.30	$1,013.82	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,683.00 / $2,775.98 / $2,859.26	Professional		$1,683.00	$2,775.98	$2,859.26
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 $168.72 / $254.80 / $536.08	Facility		$168.72	$254.80	$536.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $292.88 / $615.89	Professional		$163.11	$292.88	$615.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $471.55 / $471.55 / $821.37	Professional		$471.55	$471.55	$821.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $202.64 / $330.98	Professional		$149.38	$202.64	$330.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $299.41 / $629.66	Professional		$194.88	$299.41	$629.66