Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,935.93 / $7,631.00 / $18,309.00	Facility		$1,935.93	$7,631.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.66 / $329.91 / $1,405.00	Professional		$261.66	$329.91	$1,405.00
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 $343.15 / $433.10 / $864.74	Professional		$343.15	$433.10	$864.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,616.59	Facility		$66.00	$100.00	$9,616.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $243.08 / $352.00 / $791.04	Professional		$243.08	$352.00	$791.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.69 / $393.01 / $875.34	Professional		$302.69	$393.01	$875.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $226.73 / $396.14 / $534.79	Professional		$226.73	$396.14	$534.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $436.81 / $789.50	Professional		$318.52	$436.81	$789.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,208.11 / $4,754.80 / $26,542.00	Facility		$1,208.11	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,782.05 / $3,608.17 / $3,727.24	Professional		$2,782.05	$3,608.17	$3,727.24
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 $320.00 / $414.56 / $631.55	Facility		$320.00	$414.56	$631.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $413.99 / $847.29	Professional		$306.20	$413.99	$847.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,031.25 / $1,031.25 / $1,031.25	Professional		$1,031.25	$1,031.25	$1,031.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $294.75 / $359.96 / $439.96	Professional		$294.75	$359.96	$439.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $324.00 / $707.50	Professional		$243.00	$324.00	$707.50