Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.61 / $4,749.00 / $16,573.00	Facility		$394.61	$4,749.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.69 / $394.61 / $1,990.80	Professional		$315.69	$394.61	$1,990.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.54 / $506.54 / $1,019.22	Professional		$386.54	$506.54	$1,019.22
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 $288.58 / $401.45 / $916.91	Professional		$288.58	$401.45	$916.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,646.28 / $2,948.55	Facility		$1,487.00	$1,646.28	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.02 / $478.05 / $1,010.98	Professional		$358.02	$478.05	$1,010.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $521.55 / $704.11	Professional		$162.32	$521.55	$704.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.10 / $539.80 / $938.76	Professional		$400.10	$539.80	$938.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,710.44 / $2,757.54 / $12,000.00	Facility		$2,710.44	$2,757.54	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,839.28 / $3,130.64 / $3,658.95	Professional		$2,839.28	$3,130.64	$3,658.95
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 $361.71 / $518.22 / $704.07	Facility		$361.71	$518.22	$704.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.81 / $507.61 / $1,032.68	Professional		$364.81	$507.61	$1,032.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,235.25 / $1,235.25 / $1,333.83	Professional		$1,235.25	$1,235.25	$1,333.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $421.26 / $579.23	Professional		$227.25	$421.26	$579.23
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $5,830.00	Facility		$548.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.60 / $408.10 / $928.39	Professional		$315.60	$408.10	$928.39