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 $163.96 / $187.72 / $1,020.85	Professional		$163.96	$187.72	$1,020.85
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 $192.72 / $255.76 / $488.83	Professional		$192.72	$255.76	$488.83
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 $159.06 / $227.28 / $501.64	Professional		$159.06	$227.28	$501.64
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 $182.04 / $237.68 / $513.79	Professional		$182.04	$237.68	$513.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.24 / $210.23 / $283.81	Professional		$174.24	$210.23	$283.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $245.14 / $443.83	Professional		$177.96	$245.14	$443.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $483.63 / $2,533.00 / $26,542.00	Facility		$483.63	$2,533.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.27 / $1,415.04 / $1,651.43	Professional		$1,385.27	$1,415.04	$1,651.43
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 $191.77 / $241.75 / $325.30	Facility		$191.77	$241.75	$325.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.76 / $245.11 / $513.79	Professional		$185.76	$245.11	$513.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $633.41 / $633.41 / $633.41	Professional		$633.41	$633.41	$633.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.24 / $233.10 / $329.59	Professional		$174.24	$233.10	$329.59
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 $148.47 / $205.56 / $429.29	Professional		$148.47	$205.56	$429.29