Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,782.59 / $6,159.00 / $17,030.00	Facility		$1,782.59	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $332.50 / $1,782.59	Professional		$278.39	$332.50	$1,782.59
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 $362.62 / $462.69 / $913.80	Professional		$362.62	$462.69	$913.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,170.31	Facility		$66.00	$100.00	$7,170.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $254.58 / $369.40 / $830.15	Professional		$254.58	$369.40	$830.15
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 $317.14 / $415.37 / $921.86	Professional		$317.14	$415.37	$921.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $421.07 / $568.44	Professional		$210.72	$421.07	$568.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.09 / $467.92 / $831.34	Professional		$340.09	$467.92	$831.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,299.32 / $8,957.00 / $16,394.00	Facility		$1,299.32	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,911.00 / $2,911.00 / $2,999.48	Professional		$2,911.00	$2,911.00	$2,999.48
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 $364.97 / $456.90 / $639.54	Facility		$364.97	$456.90	$639.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.94 / $440.22 / $912.88	Professional		$324.94	$440.22	$912.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,106.06 / $1,106.06 / $1,106.06	Professional		$1,106.06	$1,106.06	$1,106.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $372.03 / $467.52	Professional		$273.94	$372.03	$467.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,072.00	Facility		$2,090.00	$4,213.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.17 / $339.85 / $759.14	Professional		$262.17	$339.85	$759.14