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 $100.92 / $114.97 / $604.91	Professional		$100.92	$114.97	$604.91
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 $142.88 / $194.99 / $349.75	Professional		$142.88	$194.99	$349.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,121.41	Facility		$65.90	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $137.49 / $303.36	Professional		$99.01	$137.49	$303.36
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 $117.34 / $148.94 / $314.43	Professional		$117.34	$148.94	$314.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $130.58 / $170.33	Professional		$113.55	$130.58	$170.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $144.96 / $263.00	Professional		$105.78	$144.96	$263.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $2,263.94 / $16,394.00	Facility		$461.36	$2,263.94	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $974.70 / $2,987.00 / $2,987.00	Professional		$974.70	$2,987.00	$2,987.00
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 $117.42 / $147.63 / $219.98	Facility		$117.42	$147.63	$219.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $153.58 / $305.49	Professional		$117.34	$153.58	$305.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $375.32 / $375.32 / $375.32	Professional		$375.32	$375.32	$375.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $137.97 / $214.80	Professional		$112.90	$137.97	$214.80
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 $91.53 / $123.46 / $249.12	Professional		$91.53	$123.46	$249.12