Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,505.00 / $16,713.00	Facility		$462.00	$5,505.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.28 / $224.66 / $1,113.68	Professional		$165.28	$224.66	$1,113.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,464.00 / $8,976.00	Facility		$1,759.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.96 / $217.73 / $479.57	Professional		$166.96	$217.73	$479.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,663.63	Facility		$66.00	$100.00	$6,663.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.76 / $242.51 / $500.65	Professional		$169.76	$242.51	$500.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,992.00	Facility		$938.60	$940.26	$1,992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $274.19 / $548.04	Professional		$194.25	$274.19	$548.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $240.60 / $414.87	Professional		$98.29	$240.60	$414.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $287.81 / $490.23	Professional		$194.72	$287.81	$490.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $892.96 / $957.74 / $16,394.00	Facility		$892.96	$957.74	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,498.00 / $1,854.08 / $2,176.94	Professional		$1,498.00	$1,854.08	$2,176.94
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 $193.14 / $272.47 / $396.63	Facility		$193.14	$272.47	$396.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $286.47 / $605.76	Professional		$194.72	$286.47	$605.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $615.89 / $615.89 / $796.21	Professional		$615.89	$615.89	$796.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $198.61 / $341.30	Professional		$137.60	$198.61	$341.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.25 / $245.36 / $538.37	Professional		$189.25	$245.36	$538.37