Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.80 / $5,310.00 / $17,030.00	Facility		$1,032.80	$5,310.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.36 / $180.22 / $709.68	Professional		$157.36	$180.22	$709.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,418.00 / $9,274.00	Facility		$1,546.00	$4,418.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.19 / $309.52 / $558.40	Professional		$234.19	$309.52	$558.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,487.53	Facility		$65.90	$100.00	$5,487.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $217.27 / $475.73	Professional		$150.94	$217.27	$475.73
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 $182.97 / $230.24 / $494.23	Professional		$182.97	$230.24	$494.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $202.52 / $273.13	Professional		$176.10	$202.52	$273.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.29 / $232.22 / $417.40	Professional		$167.29	$232.22	$417.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $410.21 / $4,289.00 / $12,000.00	Facility		$410.21	$4,289.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,665.00 / $1,665.00 / $1,665.00	Professional		$1,665.00	$1,665.00	$1,665.00
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 $186.32 / $236.95 / $334.28	Facility		$186.32	$236.95	$334.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.05 / $238.37 / $476.20	Professional		$183.05	$238.37	$476.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $583.54 / $583.54 / $583.54	Professional		$583.54	$583.54	$583.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $224.72 / $333.11	Professional		$176.10	$224.72	$333.11
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $189.82 / $400.54	Professional		$143.91	$189.82	$400.54