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 $285.27 / $341.55 / $1,831.15	Professional		$285.27	$341.55	$1,831.15
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 $358.68 / $449.22 / $903.91	Professional		$358.68	$449.22	$903.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,684.75	Facility		$66.00	$100.00	$1,684.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $241.34 / $348.47 / $796.38	Professional		$241.34	$348.47	$796.38
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 $315.12 / $424.78 / $969.85	Professional		$315.12	$424.78	$969.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.34 / $469.09 / $1,175.32	Professional		$229.34	$469.09	$1,175.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.33 / $502.45 / $850.30	Professional		$370.33	$502.45	$850.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,371.04 / $4,754.80	Facility		$55.00	$1,371.04	$4,754.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,677.04 / $2,710.72 / $3,169.88	Professional		$2,677.04	$2,710.72	$3,169.88
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 $366.38 / $481.49 / $678.94	Facility		$366.38	$481.49	$678.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $439.72 / $939.39	Professional		$318.51	$439.72	$939.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,136.19 / $1,136.19 / $1,136.19	Professional		$1,136.19	$1,136.19	$1,136.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $298.14 / $401.24 / $521.24	Professional		$298.14	$401.24	$521.24
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $339.64 / $759.15	Professional		$264.33	$339.64	$759.15