Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,159.00 / $17,030.00	Facility		$1,174.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.28 / $174.04 / $944.26	Professional		$155.28	$174.04	$944.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,418.00 / $9,274.00	Facility		$1,723.00	$4,418.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.51 / $303.92 / $548.66	Professional		$235.51	$303.92	$548.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,010.49	Facility		$65.90	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $217.80 / $476.04	Professional		$152.19	$217.80	$476.04
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 $164.13 / $223.69 / $471.53	Professional		$164.13	$223.69	$471.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $101.41 / $242.24	Professional		$80.42	$101.41	$242.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $225.91 / $409.06	Professional		$164.00	$225.91	$409.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.76 / $2,000.00 / $16,394.00	Facility		$398.76	$2,000.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.11 / $1,303.68 / $1,520.55	Professional		$1,275.11	$1,303.68	$1,520.55
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 $176.75 / $222.82 / $307.60	Facility		$176.75	$222.82	$307.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $230.29 / $469.33	Professional		$167.72	$230.29	$469.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $585.89 / $585.89 / $585.89	Professional		$585.89	$585.89	$585.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $141.97 / $214.87	Professional		$83.63	$141.97	$214.87
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,506.00 / $7,068.00	Facility		$548.00	$1,506.00	$7,068.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $190.44 / $397.24	Professional		$133.63	$190.44	$397.24