Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.77 / $333.60 / $1,794.94	Professional		$286.77	$333.60	$1,794.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $10,404.00	Facility		$1,723.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.78 / $483.35 / $934.86	Professional		$368.78	$483.35	$934.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $378.38 / $850.32	Professional		$261.14	$378.38	$850.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $3,101.23 / $5,554.45	Facility		$1,487.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.33 / $422.56 / $942.11	Professional		$324.33	$422.56	$942.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $241.62 / $423.54 / $571.78	Professional		$241.62	$423.54	$571.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.20 / $468.56 / $836.48	Professional		$342.20	$468.56	$836.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,307.96 / $8,957.00 / $12,000.00	Facility		$1,307.96	$8,957.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.50 / $3,711.01 / $3,833.47	Professional		$3,019.50	$3,711.01	$3,833.47
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 $360.73 / $450.10 / $677.66	Facility		$360.73	$450.10	$677.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.60 / $447.11 / $919.24	Professional		$328.60	$447.11	$919.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,113.72 / $1,113.72 / $1,113.72	Professional		$1,113.72	$1,113.72	$1,113.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $314.11 / $384.75 / $470.25	Professional		$314.11	$384.75	$470.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $342.36 / $746.67	Professional		$264.83	$342.36	$746.67