Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.74 / $6,243.53 / $16,210.00	Facility		$700.74	$6,243.53	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $239.09 / $850.00	Professional		$117.95	$239.09	$850.00
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 $157.25 / $220.17 / $468.13	Professional		$157.25	$220.17	$468.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $6,881.37	Facility		$66.90	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $243.96 / $460.22	Professional		$147.83	$243.96	$460.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $2,738.49 / $4,904.76	Facility		$1,992.00	$2,738.49	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $249.07 / $481.10	Professional		$138.68	$249.07	$481.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $151.90 / $369.39	Professional		$107.00	$151.90	$369.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $221.33 / $424.11	Professional		$96.30	$221.33	$424.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $649.79 / $665.76 / $16,394.00	Facility		$649.79	$665.76	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,658.00 / $1,658.00 / $1,824.23	Professional		$1,658.00	$1,658.00	$1,824.23
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 $114.67 / $241.36 / $382.50	Facility		$114.67	$241.36	$382.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.09 / $254.09 / $509.28	Professional		$141.09	$254.09	$509.28
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,778.00 / $2,778.00 / $2,778.00	Facility		$2,778.00	$2,778.00	$2,778.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $434.79 / $434.79 / $844.72	Professional		$434.79	$434.79	$844.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $207.52 / $304.12	Professional		$97.17	$207.52	$304.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,099.00 / $9,682.00	Facility		$2,212.00	$4,099.00	$9,682.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.21 / $257.63 / $583.52	Professional		$195.21	$257.63	$583.52