Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.33 / $6,640.00 / $17,701.00	Facility		$1,297.33	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $222.10 / $902.69	Professional		$200.62	$222.10	$902.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $13,707.00	Facility		$2,275.00	$7,007.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.29 / $339.88 / $638.54	Professional		$269.29	$339.88	$638.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $8,114.52	Facility		$65.90	$100.00	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $283.27 / $618.79	Professional		$197.83	$283.27	$618.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.95 / $290.97 / $612.22	Professional		$228.95	$290.97	$612.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $191.56 / $309.16	Professional		$126.58	$191.56	$309.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.24 / $286.60 / $516.72	Professional		$208.24	$286.60	$516.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $566.88 / $2,390.34 / $26,542.00	Facility		$566.88	$2,390.34	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,662.66 / $1,662.66 / $1,910.93	Professional		$1,662.66	$1,662.66	$1,910.93
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 $233.35 / $296.80 / $395.73	Facility		$233.35	$296.80	$395.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.95 / $301.30 / $601.10	Professional		$228.95	$301.30	$601.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $732.98 / $732.98 / $732.98	Professional		$732.98	$732.98	$732.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $224.44 / $274.32	Professional		$164.56	$224.44	$274.32
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 $183.26 / $244.94 / $536.83	Professional		$183.26	$244.94	$536.83