Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.86 / $4,906.00 / $16,210.00	Facility		$437.86	$4,906.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.79 / $359.67 / $1,229.40	Professional		$294.79	$359.67	$1,229.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.86 / $459.57 / $926.07	Professional		$346.86	$459.57	$926.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $274.94 / $381.44 / $849.52	Professional		$274.94	$381.44	$849.52
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 $338.98 / $444.40 / $934.65	Professional		$338.98	$444.40	$934.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $215.19 / $417.58 / $638.71	Professional		$215.19	$417.58	$638.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.68 / $483.11 / $825.99	Professional		$356.68	$483.11	$825.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,624.36 / $1,783.39 / $16,394.00	Facility		$1,624.36	$1,783.39	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.67 / $2,852.48 / $3,319.13	Professional		$2,511.67	$2,852.48	$3,319.13
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 $349.69 / $470.96 / $642.10	Facility		$349.69	$470.96	$642.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.73 / $471.34 / $940.01	Professional		$342.73	$471.34	$940.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,098.31 / $1,098.31 / $1,224.53	Professional		$1,098.31	$1,098.31	$1,224.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $241.01 / $379.36 / $525.45	Professional		$241.01	$379.36	$525.45
United Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $1,528.00 / $6,920.00	Facility		$585.00	$1,528.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.63 / $376.59 / $822.08	Professional		$288.63	$376.59	$822.08