Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $4,969.00 / $16,166.25	Facility		$927.00	$4,969.00	$16,166.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.11 / $435.98 / $1,989.00	Professional		$333.11	$435.98	$1,989.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.54 / $519.17 / $1,044.64	Professional		$414.54	$519.17	$1,044.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $6,651.83	Facility		$66.90	$100.00	$6,651.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $321.97 / $459.95 / $971.30	Professional		$321.97	$459.95	$971.30
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 $368.44 / $532.96 / $1,003.76	Professional		$368.44	$532.96	$1,003.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.18 / $533.23 / $824.36	Professional		$371.18	$533.23	$824.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.17 / $551.88 / $963.00	Professional		$375.17	$551.88	$963.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,522.76 / $2,579.82 / $16,394.00	Facility		$2,522.76	$2,579.82	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,763.00 / $3,601.52 / $4,293.75	Professional		$2,763.00	$3,601.52	$4,293.75
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 $409.50 / $553.66 / $809.25	Facility		$409.50	$553.66	$809.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.94 / $558.41 / $1,113.96	Professional		$372.94	$558.41	$1,113.96
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $2,614.00 / $2,614.00	Facility		$2,614.00	$2,614.00	$2,614.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,178.97 / $1,178.97 / $1,615.35	Professional		$1,178.97	$1,178.97	$1,615.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $379.42 / $519.66 / $678.12	Professional		$379.42	$519.66	$678.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,072.00	Facility		$2,090.00	$4,060.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.84 / $495.83 / $1,111.44	Professional		$378.84	$495.83	$1,111.44