Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $325.07 / $16,539.00	Facility		$289.08	$325.07	$16,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $267.94 / $861.86	Professional		$177.00	$267.94	$861.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $12,615.00	Facility		$2,143.00	$5,944.00	$12,615.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.43 / $454.89 / $841.99	Professional		$230.43	$454.89	$841.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $16,161.00 / $31,550.00	Facility		$64.40	$16,161.00	$31,550.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $237.06 / $340.26 / $678.74	Professional		$237.06	$340.26	$678.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.34 / $20,226.00 / $25,784.00	Facility		$181.34	$20,226.00	$25,784.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.82 / $349.21 / $810.33	Professional		$229.82	$349.21	$810.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $224.41 / $269.29 / $396.67	Professional		$224.41	$269.29	$396.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $212.30 / $490.00	Professional		$172.58	$212.30	$490.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,377.76 / $1,740.08 / $1,799.36	Facility		$1,377.76	$1,740.08	$1,799.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,248.85 / $1,286.33 / $1,537.28	Professional		$1,248.85	$1,286.33	$1,537.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.43 / $268.79	Professional		$32.34	$93.43	$268.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.57 / $242.01 / $464.85	Facility		$180.57	$242.01	$464.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.42 / $357.81 / $575.51	Professional		$231.42	$357.81	$575.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $656.00 / $656.00 / $656.00	Professional		$656.00	$656.00	$656.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $364.89 / $495.85	Professional		$198.74	$364.89	$495.85
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $1,798.00 / $13,531.00	Facility		$665.00	$1,798.00	$13,531.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $275.86 / $542.73	Professional		$162.54	$275.86	$542.73