Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,308.00 / $17,380.00	Facility		$1,208.95	$5,308.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $352.68 / $1,374.59	Professional		$298.20	$352.68	$1,374.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.27 / $523.30 / $1,006.16	Professional		$399.27	$523.30	$1,006.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,663.63	Facility		$66.00	$100.00	$6,663.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $255.06 / $364.37 / $814.00	Professional		$255.06	$364.37	$814.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.25 / $435.32 / $948.98	Professional		$347.25	$435.32	$948.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $281.08 / $400.30 / $540.41	Professional		$281.08	$400.30	$540.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.71 / $454.31 / $801.06	Professional		$327.71	$454.31	$801.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,909.86 / $4,017.35	Facility		$55.00	$1,909.86	$4,017.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,463.36 / $2,513.04 / $2,930.10	Professional		$2,463.36	$2,513.04	$2,930.10
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 $353.04 / $440.33 / $608.69	Facility		$353.04	$440.33	$608.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.25 / $456.09 / $914.17	Professional		$347.25	$456.09	$914.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,097.83 / $1,097.83 / $1,097.83	Professional		$1,097.83	$1,097.83	$1,097.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.13 / $421.63 / $531.71	Professional		$323.13	$421.63	$531.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.67 / $360.75 / $747.71	Professional		$268.67	$360.75	$747.71