Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,834.23 / $6,159.00 / $17,030.00	Facility		$1,834.23	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.13 / $353.82 / $1,834.23	Professional		$282.13	$353.82	$1,834.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.70 / $498.14 / $972.25	Professional		$388.70	$498.14	$972.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,182.43	Facility		$66.00	$100.00	$7,182.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $434.78 / $955.83	Professional		$300.27	$434.78	$955.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.03 / $454.14 / $970.93	Professional		$349.03	$454.14	$970.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $431.43 / $582.42	Professional		$210.72	$431.43	$582.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.06 / $480.69 / $853.25	Professional		$349.06	$480.69	$853.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,336.24 / $8,957.00 / $16,394.00	Facility		$1,336.24	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,760.64 / $2,790.22 / $3,082.28	Professional		$2,760.64	$2,790.22	$3,082.28
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 $382.31 / $487.30 / $670.11	Facility		$382.31	$487.30	$670.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.11 / $485.83 / $940.50	Professional		$351.11	$485.83	$940.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,138.09 / $1,138.09 / $1,138.09	Professional		$1,138.09	$1,138.09	$1,138.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $377.80 / $479.01	Professional		$273.94	$377.80	$479.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.56 / $364.32 / $864.74	Professional		$276.56	$364.32	$864.74