Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,631.00 / $17,538.00	Facility		$1,587.51	$6,631.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.01 / $301.31 / $1,261.99	Professional		$269.01	$301.31	$1,261.99
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 $380.49 / $498.70 / $960.39	Professional		$380.49	$498.70	$960.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $262.56 / $376.49 / $858.33	Professional		$262.56	$376.49	$858.33
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 $333.17 / $441.05 / $945.80	Professional		$333.17	$441.05	$945.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $412.32 / $556.63	Professional		$166.05	$412.32	$556.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.26 / $468.26 / $898.86	Professional		$342.26	$468.26	$898.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,691.85 / $4,754.80 / $26,542.00	Facility		$1,691.85	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,020.44 / $4,765.06 / $4,765.06	Professional		$4,020.44	$4,765.06	$4,765.06
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 $374.72 / $462.83 / $717.61	Facility		$374.72	$462.83	$717.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $468.25 / $943.07	Professional		$335.00	$468.25	$943.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,169.73 / $1,169.73 / $1,169.73	Professional		$1,169.73	$1,169.73	$1,169.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $215.86 / $332.68 / $457.44	Professional		$215.86	$332.68	$457.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,731.00 / $8,345.00	Facility		$1,410.00	$2,731.00	$8,345.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.88 / $364.73 / $776.43	Professional		$281.88	$364.73	$776.43