Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.93 / $4,848.00 / $16,573.00	Facility		$371.93	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.29 / $370.04 / $1,900.77	Professional		$294.29	$370.04	$1,900.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.86 / $455.31 / $916.14	Professional		$353.86	$455.31	$916.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $261.30 / $359.58 / $826.53	Professional		$261.30	$359.58	$826.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.65 / $1,487.00	Facility		$253.20	$253.65	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.57 / $454.47 / $955.26	Professional		$329.57	$454.47	$955.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $461.46 / $622.97	Professional		$142.59	$461.46	$622.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.63 / $526.38 / $906.09	Professional		$386.63	$526.38	$906.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,170.50 / $2,204.65 / $12,000.00	Facility		$2,170.50	$2,204.65	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,726.16 / $3,034.96 / $3,556.73	Professional		$2,726.16	$3,034.96	$3,556.73
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 $327.60 / $497.34 / $674.88	Facility		$327.60	$497.34	$674.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.27 / $477.95 / $990.91	Professional		$332.27	$477.95	$990.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,179.39 / $1,179.39 / $1,286.38	Professional		$1,179.39	$1,179.39	$1,286.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $372.69 / $568.11	Professional		$159.69	$372.69	$568.11
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $5,830.00	Facility		$510.00	$1,506.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.45 / $389.20 / $885.62	Professional		$291.45	$389.20	$885.62