Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $6,640.00 / $17,701.00	Facility		$1,169.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $161.61 / $902.38	Professional		$147.02	$161.61	$902.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $13,707.00	Facility		$2,275.00	$7,007.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.32 / $287.92 / $506.14	Professional		$214.32	$287.92	$506.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $8,114.52	Facility		$65.90	$100.00	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $209.18 / $457.93	Professional		$146.40	$209.18	$457.93
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 $171.70 / $216.67 / $454.01	Professional		$171.70	$216.67	$454.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $166.42 / $191.38 / $250.72	Professional		$166.42	$191.38	$250.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.86 / $216.58 / $404.87	Professional		$157.86	$216.58	$404.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $427.29 / $2,263.94 / $26,542.00	Facility		$427.29	$2,263.94	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.13 / $3,201.00 / $3,201.00	Professional		$1,459.13	$3,201.00	$3,201.00
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 $174.28 / $219.39 / $294.89	Facility		$174.28	$219.39	$294.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $225.19 / $454.01	Professional		$171.75	$225.19	$454.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $559.91 / $559.91 / $559.91	Professional		$559.91	$559.91	$559.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $166.42 / $205.91 / $314.80	Professional		$166.42	$205.91	$314.80
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 $136.35 / $183.68 / $383.28	Professional		$136.35	$183.68	$383.28