Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.37 / $4,848.00 / $16,573.00	Facility		$418.37	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.97 / $385.66 / $2,075.61	Professional		$327.97	$385.66	$2,075.61
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 $411.31 / $526.44 / $1,059.26	Professional		$411.31	$526.44	$1,059.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $309.87 / $435.69 / $995.10	Professional		$309.87	$435.69	$995.10
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 $381.71 / $505.12 / $1,080.25	Professional		$381.71	$505.12	$1,080.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $230.08 / $540.75 / $738.63	Professional		$230.08	$540.75	$738.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.47 / $565.33 / $971.92	Professional		$417.47	$565.33	$971.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,910.68 / $2,098.46 / $12,000.00	Facility		$1,910.68	$2,098.46	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,949.28 / $3,301.68 / $3,849.83	Professional		$2,949.28	$3,301.68	$3,849.83
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 $392.68 / $544.76 / $738.63	Facility		$392.68	$544.76	$738.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.27 / $539.29 / $1,097.54	Professional		$391.27	$539.29	$1,097.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,287.86 / $1,287.86 / $1,415.29	Professional		$1,287.86	$1,287.86	$1,415.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.69 / $435.23 / $607.61	Professional		$257.69	$435.23	$607.61
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $5,830.00	Facility		$548.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.54 / $442.80 / $1,069.98	Professional		$335.54	$442.80	$1,069.98