Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $162.12 / $686.49	Professional		$122.31	$162.12	$686.49
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 $145.05 / $216.00 / $461.44	Professional		$145.05	$216.00	$461.44
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 $119.75 / $171.07 / $345.35	Professional		$119.75	$171.07	$345.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $179.14 / $320.85	Facility		$56.00	$179.14	$320.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $205.56 / $401.98	Professional		$143.65	$205.56	$401.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $157.54 / $253.93	Professional		$113.92	$157.54	$253.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.58 / $195.59 / $341.39	Professional		$131.58	$195.59	$341.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $604.00 / $640.11	Facility		$55.00	$604.00	$640.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $932.32 / $1,287.83 / $1,563.83	Professional		$932.32	$1,287.83	$1,563.83
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 $151.43 / $196.05 / $286.19	Facility		$151.43	$196.05	$286.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $217.54 / $435.46	Professional		$146.16	$217.54	$435.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $425.94 / $425.94 / $570.20	Professional		$425.94	$425.94	$570.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $115.42 / $159.49 / $234.78	Professional		$115.42	$159.49	$234.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,699.00 / $7,399.00	Facility		$1,198.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.77 / $188.67 / $391.58	Professional		$138.77	$188.67	$391.58