Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.45 / $6,695.00 / $18,483.00	Facility		$348.45	$6,695.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.41 / $382.17 / $1,395.51	Professional		$291.41	$382.17	$1,395.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.05 / $462.16 / $943.99	Professional		$346.05	$462.16	$943.99
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 $281.51 / $386.96 / $868.13	Professional		$281.51	$386.96	$868.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.91 / $280.39 / $2,277.00	Facility		$279.91	$280.39	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.04 / $455.06 / $967.37	Professional		$337.04	$455.06	$967.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $192.85 / $448.40 / $608.58	Professional		$192.85	$448.40	$608.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.55 / $517.66 / $881.56	Professional		$380.55	$517.66	$881.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,727.76 / $1,903.37	Facility		$55.00	$1,727.76	$1,903.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,663.60 / $3,029.60 / $3,515.78	Professional		$2,663.60	$3,029.60	$3,515.78
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 $330.43 / $493.13 / $671.92	Facility		$330.43	$493.13	$671.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.69 / $484.96 / $987.56	Professional		$343.69	$484.96	$987.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,140.56 / $1,140.56 / $1,270.39	Professional		$1,140.56	$1,140.56	$1,270.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $269.99 / $407.45 / $563.34	Professional		$269.99	$407.45	$563.34
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,506.00 / $6,323.00	Facility		$526.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.08 / $393.33 / $931.67	Professional		$298.08	$393.33	$931.67